Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,151.22 / $1,949.60 / $5,519.00	Facility		$1,151.22	$1,949.60	$5,519.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $592.62 / $867.98 / $1,238.69	Professional		$592.62	$867.98	$1,238.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $473.54 / $973.58 / $1,221.24	Professional		$473.54	$973.58	$1,221.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $554.67 / $943.40 / $1,276.88	Facility		$554.67	$943.40	$1,276.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,008.73 / $1,222.70 / $1,489.24	Professional		$1,008.73	$1,222.70	$1,489.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,199.89	Professional		$32.34	$32.34	$1,199.89
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 $958.04 / $1,165.98 / $1,422.35	Professional		$958.04	$1,165.98	$1,422.35
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 $792.74 / $1,013.31 / $1,312.56	Professional		$792.74	$1,013.31	$1,312.56