Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,628.00 / $4,500.00 / $7,205.00	Facility		$1,628.00	$4,500.00	$7,205.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $714.00 / $910.62 / $1,441.97	Professional		$714.00	$910.62	$1,441.97
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 $781.75 / $1,074.52 / $1,237.77	Professional		$781.75	$1,074.52	$1,237.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $670.13 / $1,260.82 / $1,730.36	Facility		$670.13	$1,260.82	$1,730.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,160.83 / $1,266.36 / $1,655.78	Professional		$1,160.83	$1,266.36	$1,655.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $990.34 / $1,245.91	Professional		$32.34	$990.34	$1,245.91
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 $1,221.99 / $1,437.64 / $1,655.78	Professional		$1,221.99	$1,437.64	$1,655.78
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 $714.48 / $1,026.60 / $1,389.00	Professional		$714.48	$1,026.60	$1,389.00