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 $594.04 / $898.41 / $1,095.22	Professional		$594.04	$898.41	$1,095.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $468.08 / $913.40 / $1,146.86	Professional		$468.08	$913.40	$1,146.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $523.86 / $898.41 / $1,160.93	Facility		$523.86	$898.41	$1,160.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $968.70 / $1,157.64 / $1,403.20	Professional		$968.70	$1,157.64	$1,403.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,119.13	Professional		$32.34	$32.34	$1,119.13
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 $919.17 / $1,107.70 / $1,342.60	Professional		$919.17	$1,107.70	$1,342.60
United Facility/Professional Facility Modifier Low / Median / High Price $5,550.00 / $12,152.00 / $12,233.00	Facility		$5,550.00	$12,152.00	$12,233.00
United Facility/Professional Professional Modifier Low / Median / High Price $698.60 / $900.52 / $1,217.17	Professional		$698.60	$900.52	$1,217.17