Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,562.75 / $2,897.00 / $5,736.80	Facility		$1,562.75	$2,897.00	$5,736.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $835.66 / $1,203.52 / $1,645.25	Professional		$835.66	$1,203.52	$1,645.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $690.19 / $1,355.98 / $1,746.09	Professional		$690.19	$1,355.98	$1,746.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $778.84 / $1,378.90 / $1,810.08	Facility		$778.84	$1,378.90	$1,810.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,401.02 / $1,698.20 / $2,112.21	Professional		$1,401.02	$1,698.20	$2,112.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,691.92	Professional		$32.34	$32.34	$1,691.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,960.99 / $8,854.77 / $10,870.07	Facility		$5,960.99	$8,854.77	$10,870.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,332.46 / $1,616.95 / $2,022.35	Professional		$1,332.46	$1,616.95	$2,022.35
United Facility/Professional Facility Modifier Low / Median / High Price $9,360.00 / $16,762.00 / $17,870.00	Facility		$9,360.00	$16,762.00	$17,870.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,128.04 / $1,450.35 / $1,913.53	Professional		$1,128.04	$1,450.35	$1,913.53