Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,628.00 / $4,500.00 / $7,205.00	Facility		$1,628.00	$4,500.00	$7,205.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $542.79 / $690.31 / $1,083.79	Professional		$542.79	$690.31	$1,083.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.78 / $154.78 / $155.22	Facility		$154.78	$154.78	$155.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $547.20 / $777.84 / $923.69	Professional		$547.20	$777.84	$923.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $490.92 / $869.98 / $1,246.35	Facility		$490.92	$869.98	$1,246.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $883.29 / $936.83 / $1,250.65	Professional		$883.29	$936.83	$1,250.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $753.49 / $947.93	Professional		$32.34	$753.49	$947.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $400.01 / $563.48 / $714.51	Facility		$400.01	$563.48	$714.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $791.49 / $1,091.06 / $1,250.64	Professional		$791.49	$1,091.06	$1,250.64
United Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $1,800.00 / $9,193.00	Facility		$150.00	$1,800.00	$9,193.00
United Facility/Professional Professional Modifier Low / Median / High Price $513.39 / $756.57 / $1,042.58	Professional		$513.39	$756.57	$1,042.58