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 $633.77 / $976.61 / $1,266.43	Professional		$633.77	$976.61	$1,266.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,342.07 / $5,342.07 / $5,357.09	Facility		$5,342.07	$5,342.07	$5,357.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $718.46 / $934.42 / $1,123.88	Professional		$718.46	$934.42	$1,123.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $608.47 / $1,151.33 / $1,519.72	Facility		$608.47	$1,151.33	$1,519.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,021.53 / $1,114.40 / $1,436.54	Professional		$1,021.53	$1,114.40	$1,436.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $886.93 / $1,115.81	Professional		$32.34	$886.93	$1,115.81
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 $1,059.97 / $1,247.02 / $1,436.55	Professional		$1,059.97	$1,247.02	$1,436.55
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 $691.98 / $953.53 / $1,347.54	Professional		$691.98	$953.53	$1,347.54