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 $685.30 / $1,043.31 / $1,206.59	Professional		$685.30	$1,043.31	$1,206.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $516.29 / $1,071.58 / $1,287.18	Professional		$516.29	$1,071.58	$1,287.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $623.79 / $1,043.31 / $1,299.15	Facility		$623.79	$1,043.31	$1,299.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,179.52 / $1,354.16 / $1,554.58	Professional		$1,179.52	$1,354.16	$1,554.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,240.34	Professional		$32.34	$32.34	$1,240.34
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 $1,108.30 / $1,220.95 / $1,481.12	Professional		$1,108.30	$1,220.95	$1,481.12
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 $708.40 / $969.13 / $1,337.49	Professional		$708.40	$969.13	$1,337.49