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 $215.20 / $377.92 / $413.79	Professional		$215.20	$377.92	$413.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,895.78 / $1,895.78 / $1,901.11	Facility		$1,895.78	$1,895.78	$1,901.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $308.82 / $390.46 / $499.79	Facility		$308.82	$390.46	$499.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,433.42 / $2,433.42 / $2,654.10	Professional		$2,433.42	$2,433.42	$2,654.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $55.00 / $3,900.00	Professional		$30.00	$55.00	$3,900.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,834.98 / $7,849.65 / $9,927.16	Facility		$5,834.98	$7,849.65	$9,927.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $390.74 / $459.69 / $601.91	Professional		$390.74	$459.69	$601.91
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 $306.95 / $418.70 / $550.66	Professional		$306.95	$418.70	$550.66