Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,422.00 / $4,500.00 / $8,622.00	Facility		$3,422.00	$4,500.00	$8,622.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $656.65 / $893.87 / $1,315.66	Professional		$656.65	$893.87	$1,315.66
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 $727.47 / $977.19 / $1,127.85	Professional		$727.47	$977.19	$1,127.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $614.45 / $1,148.65 / $1,578.79	Facility		$614.45	$1,148.65	$1,578.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,062.63 / $1,159.24 / $1,511.95	Professional		$1,062.63	$1,159.24	$1,511.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $906.64 / $1,140.60	Professional		$32.34	$906.64	$1,140.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,834.98 / $7,849.65 / $9,927.16	Facility		$5,834.98	$7,849.65	$9,927.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,116.61 / $1,313.67 / $1,511.95	Professional		$1,116.61	$1,313.67	$1,511.95
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 $693.75 / $955.34 / $1,374.91	Professional		$693.75	$955.34	$1,374.91