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 $394.51 / $597.28 / $915.79	Professional		$394.51	$597.28	$915.79
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 $629.57 / $944.36 / $1,226.63	Professional		$629.57	$944.36	$1,226.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $275.85 / $767.69 / $1,325.52	Facility		$275.85	$767.69	$1,325.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $411.49 / $598.29 / $897.86	Professional		$411.49	$598.29	$897.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $522.58 / $657.44	Professional		$32.34	$522.58	$657.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,301.55 / $7,849.65 / $9,927.16	Facility		$4,301.55	$7,849.65	$9,927.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $436.79 / $618.76 / $897.86	Professional		$436.79	$618.76	$897.86
United Facility/Professional Facility Modifier Low / Median / High Price $1,350.00 / $5,550.00 / $12,233.00	Facility		$1,350.00	$5,550.00	$12,233.00
United Facility/Professional Professional Modifier Low / Median / High Price $742.68 / $1,049.35 / $1,493.32	Professional		$742.68	$1,049.35	$1,493.32