Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,897.00 / $4,500.00 / $7,761.00	Facility		$2,897.00	$4,500.00	$7,761.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $672.10 / $984.38 / $1,311.48	Professional		$672.10	$984.38	$1,311.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $544.05 / $1,103.71 / $1,390.55	Professional		$544.05	$1,103.71	$1,390.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $632.89 / $1,070.60 / $1,455.95	Facility		$632.89	$1,070.60	$1,455.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,146.42 / $1,389.60 / $1,702.08	Professional		$1,146.42	$1,389.60	$1,702.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,368.26	Professional		$32.34	$32.34	$1,368.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,306.03 / $4,697.79 / $5,755.74	Facility		$3,306.03	$4,697.79	$5,755.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,087.96 / $1,322.52 / $1,619.98	Professional		$1,087.96	$1,322.52	$1,619.98
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 $903.70 / $1,161.90 / $1,497.56	Professional		$903.70	$1,161.90	$1,497.56