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 $658.17 / $876.81 / $1,338.69	Professional		$658.17	$876.81	$1,338.69
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 $724.71 / $966.27 / $1,147.45	Professional		$724.71	$966.27	$1,147.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $619.47 / $1,095.69 / $1,549.18	Facility		$619.47	$1,095.69	$1,549.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,081.31 / $1,179.60 / $1,537.98	Professional		$1,081.31	$1,179.60	$1,537.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $922.37 / $1,160.41	Professional		$32.34	$922.37	$1,160.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,897.28 / $3,916.24 / $6,112.40	Facility		$2,897.28	$3,916.24	$6,112.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $969.42 / $1,336.33 / $1,537.98	Professional		$969.42	$1,336.33	$1,537.98
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 $674.63 / $944.50 / $1,341.19	Professional		$674.63	$944.50	$1,341.19