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 $411.30 / $443.34 / $494.10	Professional		$411.30	$443.34	$494.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $462.97 / $524.70 / $632.73	Professional		$462.97	$524.70	$632.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $165.95 / $494.10 / $632.45	Facility		$165.95	$494.10	$632.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $123.28 / $123.28 / $123.28	Professional		$123.28	$123.28	$123.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $248.79 / $3,500.00	Professional		$30.00	$248.79	$3,500.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,268.32 / $1,724.86 / $2,164.31	Facility		$1,268.32	$1,724.86	$2,164.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $506.41 / $530.42 / $530.42	Professional		$506.41	$530.42	$530.42
United Facility/Professional Facility Modifier Low / Median / High Price $2,620.00 / $4,150.00 / $4,441.00	Facility		$2,620.00	$4,150.00	$4,441.00
United Facility/Professional Professional Modifier Low / Median / High Price $338.20 / $584.66 / $797.15	Professional		$338.20	$584.66	$797.15