Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $723.77 / $1,193.78 / $4,500.00	Facility		$723.77	$1,193.78	$4,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $413.75 / $640.19 / $1,067.90	Professional		$413.75	$640.19	$1,067.90
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 $514.08 / $692.66 / $842.50	Professional		$514.08	$692.66	$842.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $444.25 / $833.27 / $1,148.67	Facility		$444.25	$833.27	$1,148.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $733.33 / $868.92 / $1,040.84	Professional		$733.33	$868.92	$1,040.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $703.37 / $884.89	Professional		$32.34	$703.37	$884.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,847.32 / $3,860.69 / $4,869.63	Facility		$1,847.32	$3,860.69	$4,869.63
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $772.17 / $910.55 / $1,040.84	Professional		$772.17	$910.55	$1,040.84
United Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $2,620.00 / $4,441.00	Facility		$450.00	$2,620.00	$4,441.00
United Facility/Professional Professional Modifier Low / Median / High Price $524.79 / $727.48 / $1,035.25	Professional		$524.79	$727.48	$1,035.25