Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $5,519.00	Facility		$4,500.00	$4,500.00	$5,519.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $726.99 / $1,072.97 / $1,767.25	Professional		$726.99	$1,072.97	$1,767.25
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 $808.30 / $1,082.95 / $1,279.81	Professional		$808.30	$1,082.95	$1,279.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $705.43 / $1,297.89 / $2,032.34	Facility		$705.43	$1,297.89	$2,032.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,247.83 / $1,361.27 / $1,791.56	Professional		$1,247.83	$1,361.27	$1,791.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,069.98 / $1,346.10	Professional		$32.34	$1,069.98	$1,346.10
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 $1,316.04 / $1,548.28 / $1,791.56	Professional		$1,316.04	$1,548.28	$1,791.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,350.00 / $3,905.54 / $12,233.00	Facility		$1,350.00	$3,905.54	$12,233.00
United Facility/Professional Professional Modifier Low / Median / High Price $799.52 / $1,095.15 / $1,556.97	Professional		$799.52	$1,095.15	$1,556.97