Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,422.00 / $4,500.00 / $8,622.00	Facility		$3,422.00	$4,500.00	$8,622.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $614.13 / $866.15 / $1,361.34	Professional		$614.13	$866.15	$1,361.34
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 $590.34 / $840.10 / $1,165.36	Professional		$590.34	$840.10	$1,165.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $494.11 / $1,052.64 / $1,475.62	Facility		$494.11	$1,052.64	$1,475.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $787.23 / $1,054.08 / $1,277.68	Professional		$787.23	$1,054.08	$1,277.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $923.86 / $1,162.28	Professional		$32.34	$923.86	$1,162.28
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 $829.40 / $1,118.89 / $1,343.84	Professional		$829.40	$1,118.89	$1,343.84
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 $709.56 / $979.20 / $1,365.90	Professional		$709.56	$979.20	$1,365.90