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 $707.40 / $969.12 / $1,417.51	Professional		$707.40	$969.12	$1,417.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,315.53 / $5,315.53 / $5,330.47	Facility		$5,315.53	$5,315.53	$5,330.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $784.47 / $1,024.30 / $1,216.35	Professional		$784.47	$1,024.30	$1,216.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $656.55 / $1,215.44 / $1,643.42	Facility		$656.55	$1,215.44	$1,643.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,142.16 / $1,246.00 / $1,627.87	Professional		$1,142.16	$1,246.00	$1,627.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $974.45 / $1,225.93	Professional		$32.34	$974.45	$1,225.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,746.17 / $17,361.59 / $22,059.79	Facility		$9,746.17	$17,361.59	$22,059.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,201.03 / $1,412.98 / $1,627.87	Professional		$1,201.03	$1,412.98	$1,627.87
United Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $10,120.00 / $27,159.00	Facility		$2,100.00	$10,120.00	$27,159.00
United Facility/Professional Professional Modifier Low / Median / High Price $730.43 / $1,042.60 / $1,483.71	Professional		$730.43	$1,042.60	$1,483.71