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 $431.80 / $627.35 / $1,033.29	Professional		$431.80	$627.35	$1,033.29
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 $484.36 / $646.16 / $748.66	Professional		$484.36	$646.16	$748.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $413.08 / $776.10 / $1,188.28	Facility		$413.08	$776.10	$1,188.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $695.43 / $758.65 / $988.61	Professional		$695.43	$758.65	$988.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $587.59 / $739.23	Professional		$32.34	$587.59	$739.23
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 $735.35 / $865.12 / $988.60	Professional		$735.35	$865.12	$988.60
United Facility/Professional Facility Modifier Low / Median / High Price $675.00 / $3,450.00 / $7,609.00	Facility		$675.00	$3,450.00	$7,609.00
United Facility/Professional Professional Modifier Low / Median / High Price $473.10 / $635.04 / $871.51	Professional		$473.10	$635.04	$871.51