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 $750.76 / $1,148.36 / $1,338.85	Professional		$750.76	$1,148.36	$1,338.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $558.00 / $1,129.52 / $1,419.31	Professional		$558.00	$1,129.52	$1,419.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $655.50 / $1,148.36 / $1,469.91	Facility		$655.50	$1,148.36	$1,469.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,221.68 / $1,402.23 / $1,697.54	Professional		$1,221.68	$1,402.23	$1,697.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,366.93	Professional		$32.34	$32.34	$1,366.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,081.40 / $8,854.77 / $10,870.07	Facility		$4,081.40	$8,854.77	$10,870.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,152.41 / $1,341.15 / $1,645.38	Professional		$1,152.41	$1,341.15	$1,645.38
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 $900.90 / $1,130.82 / $1,492.93	Professional		$900.90	$1,130.82	$1,492.93