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 $659.60 / $853.04 / $1,316.22	Professional		$659.60	$853.04	$1,316.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,006.37 / $1,006.37 / $1,009.20	Facility		$1,006.37	$1,006.37	$1,009.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $658.95 / $935.96 / $1,111.45	Professional		$658.95	$935.96	$1,111.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $584.71 / $1,091.89 / $1,513.65	Facility		$584.71	$1,091.89	$1,513.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,028.48 / $1,121.98 / $1,499.46	Professional		$1,028.48	$1,121.98	$1,499.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $990.10 / $1,103.25	Professional		$32.34	$990.10	$1,103.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,885.35 / $3,860.69 / $4,869.63	Facility		$2,885.35	$3,860.69	$4,869.63
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $937.02 / $1,291.68 / $1,499.46	Professional		$937.02	$1,291.68	$1,499.46
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 $612.72 / $898.50 / $1,221.65	Professional		$612.72	$898.50	$1,221.65