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 $743.82 / $965.39 / $1,485.51	Professional		$743.82	$965.39	$1,485.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,895.78 / $1,895.78 / $1,901.11	Facility		$1,895.78	$1,895.78	$1,901.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $787.95 / $1,062.89 / $1,262.19	Professional		$787.95	$1,062.89	$1,262.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $684.10 / $1,287.96 / $1,708.34	Facility		$684.10	$1,287.96	$1,708.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,153.36 / $1,258.22 / $1,692.78	Professional		$1,153.36	$1,258.22	$1,692.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $986.11 / $1,240.58	Professional		$32.34	$986.11	$1,240.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,490.98 / $7,849.65 / $9,927.16	Facility		$5,490.98	$7,849.65	$9,927.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,232.76 / $1,450.30 / $1,692.78	Professional		$1,232.76	$1,450.30	$1,692.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,500.00 / $9,360.00 / $17,870.00	Facility		$1,500.00	$9,360.00	$17,870.00
United Facility/Professional Professional Modifier Low / Median / High Price $718.92 / $1,028.99 / $1,461.50	Professional		$718.92	$1,028.99	$1,461.50