Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,897.00 / $4,500.00 / $7,761.00	Facility		$2,897.00	$4,500.00	$7,761.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $736.30 / $1,025.04 / $1,408.39	Professional		$736.30	$1,025.04	$1,408.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $583.04 / $1,238.67 / $1,498.41	Professional		$583.04	$1,238.67	$1,498.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $685.85 / $1,197.13 / $1,570.01	Facility		$685.85	$1,197.13	$1,570.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,285.73 / $1,498.15 / $1,815.94	Professional		$1,285.73	$1,498.15	$1,815.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,461.30	Professional		$32.34	$32.34	$1,461.30
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 $1,217.80 / $1,432.71 / $1,737.25	Professional		$1,217.80	$1,432.71	$1,737.25
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 $964.60 / $1,240.21 / $1,591.81	Professional		$964.60	$1,240.21	$1,591.81