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 $695.15 / $953.60 / $1,428.56	Professional		$695.15	$953.60	$1,428.56
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 $784.67 / $1,032.56 / $1,226.17	Professional		$784.67	$1,032.56	$1,226.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $662.66 / $1,214.28 / $1,657.82	Facility		$662.66	$1,214.28	$1,657.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,151.22 / $1,255.88 / $1,642.23	Professional		$1,151.22	$1,255.88	$1,642.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $982.44 / $1,235.97	Professional		$32.34	$982.44	$1,235.97
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 $1,211.79 / $1,425.64 / $1,642.23	Professional		$1,211.79	$1,425.64	$1,642.23
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 $677.16 / $1,044.53 / $1,448.38	Professional		$677.16	$1,044.53	$1,448.38