Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,407.00 / $4,500.00 / $7,045.00	Facility		$1,407.00	$4,500.00	$7,045.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $347.87 / $843.06 / $1,556.64	Professional		$347.87	$843.06	$1,556.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,110.38 / $1,110.38 / $1,113.50	Facility		$1,110.38	$1,110.38	$1,113.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $412.51 / $660.44 / $1,112.20	Professional		$412.51	$660.44	$1,112.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $365.23 / $848.24 / $1,634.47	Facility		$365.23	$848.24	$1,634.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $693.83 / $1,051.25 / $1,648.31	Professional		$693.83	$1,051.25	$1,648.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,349.48 / $1,503.70	Professional		$32.34	$1,349.48	$1,503.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,403.52 / $4,867.04 / $5,994.73	Facility		$3,403.52	$4,867.04	$5,994.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $709.02 / $861.12 / $1,819.55	Professional		$709.02	$861.12	$1,819.55
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 $621.00 / $926.65 / $1,259.25	Professional		$621.00	$926.65	$1,259.25