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 $202.40 / $219.69 / $230.66	Professional		$202.40	$219.69	$230.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,334.17 / $2,334.17 / $2,340.73	Facility		$2,334.17	$2,334.17	$2,340.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $202.40 / $222.64 / $295.24	Facility		$202.40	$222.64	$295.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,996.13 / $2,996.13 / $3,267.83	Professional		$2,996.13	$2,996.13	$3,267.83
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 $3,870.83 / $8,840.18 / $10,831.01	Facility		$3,870.83	$8,840.18	$10,831.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $297.74 / $414.42 / $487.55	Professional		$297.74	$414.42	$487.55
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 $250.04 / $342.16 / $460.60	Professional		$250.04	$342.16	$460.60