Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,628.00 / $4,500.00 / $7,205.00	Facility		$1,628.00	$4,500.00	$7,205.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $682.54 / $1,050.43 / $1,228.20	Professional		$682.54	$1,050.43	$1,228.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $516.35 / $1,089.23 / $1,312.99	Professional		$516.35	$1,089.23	$1,312.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $606.85 / $1,050.43 / $1,372.49	Facility		$606.85	$1,050.43	$1,372.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,129.89 / $1,307.60 / $1,584.98	Professional		$1,129.89	$1,307.60	$1,584.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,274.23	Professional		$32.34	$32.34	$1,274.23
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 $1,059.63 / $1,243.97 / $1,501.54	Professional		$1,059.63	$1,243.97	$1,501.54
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 $804.95 / $1,072.50 / $1,483.06	Professional		$804.95	$1,072.50	$1,483.06