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 $385.34 / $484.79 / $757.02	Professional		$385.34	$484.79	$757.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,214.76 / $4,214.76 / $4,226.60	Facility		$4,214.76	$4,214.76	$4,226.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $335.64 / $528.61 / $627.72	Professional		$335.64	$528.61	$627.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $336.27 / $571.29 / $870.57	Facility		$336.27	$571.29	$870.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $611.11 / $666.67 / $872.50	Professional		$611.11	$666.67	$872.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $521.22 / $655.73	Professional		$32.34	$521.22	$655.73
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 $616.40 / $759.81 / $872.50	Professional		$616.40	$759.81	$872.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,350.00 / $5,550.00 / $14,287.46	Facility		$1,350.00	$5,550.00	$14,287.46
United Facility/Professional Professional Modifier Low / Median / High Price $327.60 / $470.78 / $691.46	Professional		$327.60	$470.78	$691.46