Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,628.00 / $4,500.00 / $7,205.00	Facility		$1,628.00	$4,500.00	$7,205.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $322.69 / $496.62 / $802.59	Professional		$322.69	$496.62	$802.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $377.13 / $534.63 / $847.33	Professional		$377.13	$534.63	$847.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $335.50 / $521.45 / $813.01	Facility		$335.50	$521.45	$813.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $541.17 / $655.98 / $1,021.50	Professional		$541.17	$655.98	$1,021.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $810.62	Professional		$32.34	$32.34	$810.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,597.82 / $6,572.09 / $8,615.14	Facility		$4,597.82	$6,572.09	$8,615.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $512.52 / $668.86 / $978.41	Professional		$512.52	$668.86	$978.41
United Facility/Professional Facility Modifier Low / Median / High Price $5,550.00 / $12,152.00 / $12,233.00	Facility		$5,550.00	$12,152.00	$12,233.00
United Facility/Professional Professional Modifier Low / Median / High Price $489.65 / $639.76 / $857.86	Professional		$489.65	$639.76	$857.86