Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,874.00 / $2,897.00 / $7,761.00	Facility		$1,874.00	$2,897.00	$7,761.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $729.44 / $975.71 / $1,398.45	Professional		$729.44	$975.71	$1,398.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $572.65 / $1,192.44 / $1,487.78	Professional		$572.65	$1,192.44	$1,487.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $674.09 / $1,154.58 / $1,574.43	Facility		$674.09	$1,154.58	$1,574.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.75 / $1,491.82 / $1,810.12	Professional		$1,230.75	$1,491.82	$1,810.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,460.38	Professional		$32.34	$32.34	$1,460.38
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 $1,168.27 / $1,422.99 / $1,729.64	Professional		$1,168.27	$1,422.99	$1,729.64
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 $1,002.05 / $1,239.38 / $1,620.86	Professional		$1,002.05	$1,239.38	$1,620.86