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 $779.22 / $1,117.42 / $1,506.10	Professional		$779.22	$1,117.42	$1,506.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.41 / $1,279.00 / $1,601.52	Professional		$616.41	$1,279.00	$1,601.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $727.14 / $1,239.19 / $1,680.89	Facility		$727.14	$1,239.19	$1,680.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,319.36 / $1,599.22 / $1,951.78	Professional		$1,319.36	$1,599.22	$1,951.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,574.55	Professional		$32.34	$32.34	$1,574.55
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 $1,254.71 / $1,531.07 / $1,864.10	Professional		$1,254.71	$1,531.07	$1,864.10
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 $1,050.70 / $1,263.99 / $1,741.16	Professional		$1,050.70	$1,263.99	$1,741.16