Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,691.00 / $7,761.00	Facility		$4,500.00	$4,691.00	$7,761.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $688.41 / $970.44 / $1,537.04	Professional		$688.41	$970.44	$1,537.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,694.08 / $5,694.08 / $5,710.09	Facility		$5,694.08	$5,694.08	$5,710.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.60 / $1,110.44 / $1,318.65	Professional		$851.60	$1,110.44	$1,318.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $714.90 / $1,475.78 / $1,844.45	Facility		$714.90	$1,475.78	$1,844.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,239.30 / $1,351.96 / $1,764.65	Professional		$1,239.30	$1,351.96	$1,764.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,057.11 / $1,329.92	Professional		$32.34	$1,057.11	$1,329.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,254.97 / $17,361.59 / $22,059.79	Facility		$11,254.97	$17,361.59	$22,059.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,303.01 / $1,532.95 / $1,764.65	Professional		$1,303.01	$1,532.95	$1,764.65
United Facility/Professional Facility Modifier Low / Median / High Price $2,600.00 / $11,800.00 / $29,092.00	Facility		$2,600.00	$11,800.00	$29,092.00
United Facility/Professional Professional Modifier Low / Median / High Price $822.33 / $1,080.45 / $1,545.67	Professional		$822.33	$1,080.45	$1,545.67