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 $744.89 / $967.09 / $1,530.54	Professional		$744.89	$967.09	$1,530.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,046.45 / $6,046.45 / $6,063.45	Facility		$6,046.45	$6,046.45	$6,063.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $847.85 / $1,130.00 / $1,313.89	Professional		$847.85	$1,130.00	$1,313.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $711.47 / $1,468.67 / $1,836.65	Facility		$711.47	$1,468.67	$1,836.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,234.48 / $1,346.71 / $1,757.66	Professional		$1,234.48	$1,346.71	$1,757.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,188.88 / $1,324.75	Professional		$32.34	$1,188.88	$1,324.75
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 $1,298.48 / $1,527.62 / $1,757.66	Professional		$1,298.48	$1,527.62	$1,757.66
United Facility/Professional Facility Modifier Low / Median / High Price $1,500.00 / $9,360.00 / $17,870.00	Facility		$1,500.00	$9,360.00	$17,870.00
United Facility/Professional Professional Modifier Low / Median / High Price $817.00 / $1,126.83 / $1,646.48	Professional		$817.00	$1,126.83	$1,646.48