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 $198.66 / $285.64 / $331.02	Professional		$198.66	$285.64	$331.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $481.63 / $481.63 / $481.63	Professional		$481.63	$481.63	$481.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $199.26 / $301.77 / $418.01	Facility		$199.26	$301.77	$418.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $148.02 / $148.02 / $148.02	Professional		$148.02	$148.02	$148.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $435.22 / $3,500.00	Professional		$30.00	$435.22	$3,500.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,096.86 / $3,702.62 / $5,765.31	Facility		$2,096.86	$3,702.62	$5,765.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $387.35 / $455.71 / $479.43	Professional		$387.35	$455.71	$479.43
United Facility/Professional Facility Modifier Low / Median / High Price $3,450.00 / $6,124.00 / $7,609.00	Facility		$3,450.00	$6,124.00	$7,609.00
United Facility/Professional Professional Modifier Low / Median / High Price $321.52 / $417.12 / $643.05	Professional		$321.52	$417.12	$643.05