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 $461.72 / $646.98 / $1,130.00	Professional		$461.72	$646.98	$1,130.00
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 $525.57 / $700.76 / $848.59	Professional		$525.57	$700.76	$848.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $444.62 / $842.58 / $1,299.50	Facility		$444.62	$842.58	$1,299.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $742.40 / $809.89 / $1,092.57	Professional		$742.40	$809.89	$1,092.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $647.82 / $815.00	Professional		$32.34	$647.82	$815.00
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 $780.67 / $918.44 / $1,092.56	Professional		$780.67	$918.44	$1,092.56
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 $491.75 / $675.00 / $945.00	Professional		$491.75	$675.00	$945.00