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 $163.56 / $181.19 / $533.92	Professional		$163.56	$181.19	$533.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $573.77 / $573.77 / $575.38	Facility		$573.77	$573.77	$575.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $95.75 / $173.37 / $238.22	Facility		$95.75	$173.37	$238.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $109.28 / $109.28 / $736.48	Professional		$109.28	$109.28	$736.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $55.00 / $3,500.00	Professional		$30.00	$55.00	$3,500.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,595.57 / $2,281.73 / $2,842.02	Facility		$1,595.57	$2,281.73	$2,842.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $240.62 / $283.08 / $283.75	Professional		$240.62	$283.08	$283.75
United Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $2,620.00 / $4,441.00	Facility		$450.00	$2,620.00	$4,441.00
United Facility/Professional Professional Modifier Low / Median / High Price $175.82 / $260.42 / $359.38	Professional		$175.82	$260.42	$359.38