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 $703.72 / $903.96 / $1,401.33	Professional		$703.72	$903.96	$1,401.33
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 $720.69 / $996.79 / $1,183.69	Professional		$720.69	$996.79	$1,183.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $648.28 / $1,178.93 / $1,611.53	Facility		$648.28	$1,178.93	$1,611.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,091.99 / $1,177.02 / $1,598.57	Professional		$1,091.99	$1,177.02	$1,598.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $936.63 / $1,178.34	Professional		$32.34	$936.63	$1,178.34
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 $1,168.17 / $1,374.32 / $1,598.57	Professional		$1,168.17	$1,374.32	$1,598.57
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 $687.81 / $961.42 / $1,361.40	Professional		$687.81	$961.42	$1,361.40