Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,407.00 / $4,500.00 / $7,045.00	Facility		$1,407.00	$4,500.00	$7,045.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $699.98 / $904.81 / $1,397.57	Professional		$699.98	$904.81	$1,397.57
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 $715.42 / $993.37 / $1,179.63	Professional		$715.42	$993.37	$1,179.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $639.75 / $1,160.47 / $1,607.21	Facility		$639.75	$1,160.47	$1,607.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,093.06 / $1,192.43 / $1,591.81	Professional		$1,093.06	$1,192.43	$1,591.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $932.03 / $1,172.55	Professional		$32.34	$932.03	$1,172.55
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,682.33 / $7,849.65 / $9,927.16	Facility		$3,682.33	$7,849.65	$9,927.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,166.47 / $1,372.32 / $1,591.81	Professional		$1,166.47	$1,372.32	$1,591.81
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 $654.36 / $961.49 / $1,320.82	Professional		$654.36	$961.49	$1,320.82