Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,415.00 / $4,500.00 / $8,439.00	Facility		$4,415.00	$4,500.00	$8,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $693.15 / $977.97 / $1,485.72	Professional		$693.15	$977.97	$1,485.72
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 $786.81 / $1,079.51 / $1,281.92	Professional		$786.81	$1,079.51	$1,281.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $681.38 / $1,272.30 / $1,708.58	Facility		$681.38	$1,272.30	$1,708.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,154.97 / $1,259.96 / $1,684.76	Professional		$1,154.97	$1,259.96	$1,684.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $988.34 / $1,243.40	Professional		$32.34	$988.34	$1,243.40
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 $1,224.82 / $1,440.97 / $1,684.76	Professional		$1,224.82	$1,440.97	$1,684.76
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 $723.90 / $1,024.42 / $1,457.19	Professional		$723.90	$1,024.42	$1,457.19