Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,282.64 / $1,566.30 / $4,500.00	Facility		$1,282.64	$1,566.30	$4,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $646.99 / $989.94 / $1,316.22	Professional		$646.99	$989.94	$1,316.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $567.37 / $1,110.17 / $1,397.19	Professional		$567.37	$1,110.17	$1,397.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $634.61 / $1,077.84 / $1,440.00	Facility		$634.61	$1,077.84	$1,440.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,157.09 / $1,396.20 / $1,692.36	Professional		$1,157.09	$1,396.20	$1,692.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,347.57	Professional		$32.34	$32.34	$1,347.57
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,327.80 / $4,747.49 / $5,755.74	Facility		$3,327.80	$4,747.49	$5,755.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,100.24 / $1,324.77 / $1,612.41	Professional		$1,100.24	$1,324.77	$1,612.41
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 $717.18 / $1,122.00 / $1,490.41	Professional		$717.18	$1,122.00	$1,490.41