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 $302.13 / $595.41 / $913.46	Professional		$302.13	$595.41	$913.46
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 $360.08 / $514.72 / $790.91	Professional		$360.08	$514.72	$790.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $297.64 / $608.24 / $968.27	Facility		$297.64	$608.24	$968.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $479.82 / $705.57 / $855.24	Professional		$479.82	$705.57	$855.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $611.97 / $769.90	Professional		$32.34	$611.97	$769.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,515.72 / $7,849.65 / $9,927.16	Facility		$4,515.72	$7,849.65	$9,927.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $504.21 / $696.84 / $921.58	Professional		$504.21	$696.84	$921.58
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 $461.88 / $667.16 / $956.82	Professional		$461.88	$667.16	$956.82