Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,013.63 / $4,500.00 / $7,205.00	Facility		$1,013.63	$4,500.00	$7,205.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $760.96 / $1,086.01 / $1,516.26	Professional		$760.96	$1,086.01	$1,516.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $619.02 / $1,322.39 / $1,612.44	Professional		$619.02	$1,322.39	$1,612.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $728.98 / $1,281.40 / $1,680.22	Facility		$728.98	$1,281.40	$1,680.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,365.24 / $1,613.42 / $1,955.66	Professional		$1,365.24	$1,613.42	$1,955.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,579.48	Professional		$32.34	$32.34	$1,579.48
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 $1,296.65 / $1,539.62 / $1,873.88	Professional		$1,296.65	$1,539.62	$1,873.88
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 $1,044.39 / $1,339.49 / $1,729.22	Professional		$1,044.39	$1,339.49	$1,729.22