Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,198.47 / $1,388.57 / $17,275.15	Facility		$1,198.47	$1,388.57	$17,275.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $626.20 / $851.28 / $1,166.86	Professional		$626.20	$851.28	$1,166.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $477.46 / $1,035.72 / $1,239.08	Professional		$477.46	$1,035.72	$1,239.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $573.26 / $991.84 / $1,286.98	Facility		$573.26	$991.84	$1,286.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,073.83 / $1,240.34 / $1,503.46	Professional		$1,073.83	$1,240.34	$1,503.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,214.24	Professional		$32.34	$32.34	$1,214.24
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 $1,011.47 / $1,184.63 / $1,441.69	Professional		$1,011.47	$1,184.63	$1,441.69
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 $804.64 / $1,011.56 / $1,333.41	Professional		$804.64	$1,011.56	$1,333.41