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 $736.22 / $1,105.72 / $1,324.56	Professional		$736.22	$1,105.72	$1,324.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $561.49 / $1,143.50 / $1,410.62	Professional		$561.49	$1,143.50	$1,410.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $644.89 / $1,105.72 / $1,474.37	Facility		$644.89	$1,105.72	$1,474.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,192.32 / $1,425.02 / $1,727.30	Professional		$1,192.32	$1,425.02	$1,727.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,379.51	Professional		$32.34	$32.34	$1,379.51
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 $1,132.97 / $1,359.06 / $1,639.87	Professional		$1,132.97	$1,359.06	$1,639.87
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 $910.00 / $1,113.21 / $1,518.01	Professional		$910.00	$1,113.21	$1,518.01