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 $750.71 / $1,121.42 / $1,339.25	Professional		$750.71	$1,121.42	$1,339.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $561.26 / $1,156.36 / $1,422.80	Professional		$561.26	$1,156.36	$1,422.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $648.14 / $1,121.42 / $1,478.86	Facility		$648.14	$1,121.42	$1,478.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,167.24 / $1,385.54 / $1,679.44	Professional		$1,167.24	$1,385.54	$1,679.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,350.30	Professional		$32.34	$32.34	$1,350.30
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 $1,137.06 / $1,364.17 / $1,639.91	Professional		$1,137.06	$1,364.17	$1,639.91
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 $942.89 / $1,212.30 / $1,631.98	Professional		$942.89	$1,212.30	$1,631.98