Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,897.00 / $4,500.00 / $7,761.00	Facility		$2,897.00	$4,500.00	$7,761.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $610.54 / $825.61 / $1,222.55	Professional		$610.54	$825.61	$1,222.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,177.80 / $1,177.80 / $1,181.10	Facility		$1,177.80	$1,177.80	$1,181.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $661.60 / $882.14 / $1,047.54	Professional		$661.60	$882.14	$1,047.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $555.28 / $990.99 / $1,411.38	Facility		$555.28	$990.99	$1,411.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $986.30 / $1,075.97 / $1,403.87	Professional		$986.30	$1,075.97	$1,403.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $841.51 / $1,058.67	Professional		$32.34	$841.51	$1,058.67
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,306.03 / $4,697.79 / $5,755.74	Facility		$3,306.03	$4,697.79	$5,755.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $964.79 / $1,220.35 / $1,403.87	Professional		$964.79	$1,220.35	$1,403.87
United Facility/Professional Facility Modifier Low / Median / High Price $675.00 / $3,450.00 / $7,609.00	Facility		$675.00	$3,450.00	$7,609.00
United Facility/Professional Professional Modifier Low / Median / High Price $650.83 / $887.94 / $1,223.33	Professional		$650.83	$887.94	$1,223.33