Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $8,622.00 / $14,140.40	Facility		$4,500.00	$8,622.00	$14,140.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $657.14 / $863.40 / $1,352.59	Professional		$657.14	$863.40	$1,352.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,214.76 / $4,214.76 / $4,226.60	Facility		$4,214.76	$4,214.76	$4,226.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $748.00 / $998.00 / $1,159.48	Professional		$748.00	$998.00	$1,159.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $637.91 / $1,198.71 / $1,623.11	Facility		$637.91	$1,198.71	$1,623.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,088.26 / $1,187.19 / $1,552.35	Professional		$1,088.26	$1,187.19	$1,552.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $928.87 / $1,168.58	Professional		$32.34	$928.87	$1,168.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,138.70 / $17,361.59 / $22,059.79	Facility		$8,138.70	$17,361.59	$22,059.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,145.51 / $1,347.66 / $1,552.35	Professional		$1,145.51	$1,347.66	$1,552.35
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 $722.77 / $994.24 / $1,414.87	Professional		$722.77	$994.24	$1,414.87