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 $614.50 / $917.45 / $1,198.36	Professional		$614.50	$917.45	$1,198.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $490.66 / $1,031.60 / $1,284.19	Professional		$490.66	$1,031.60	$1,284.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $569.75 / $992.56 / $1,337.70	Facility		$569.75	$992.56	$1,337.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.68 / $1,262.23 / $1,529.98	Professional		$1,047.68	$1,262.23	$1,529.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,235.27	Professional		$32.34	$32.34	$1,235.27
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 $993.33 / $1,201.51 / $1,467.86	Professional		$993.33	$1,201.51	$1,467.86
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 $835.45 / $1,069.25 / $1,383.27	Professional		$835.45	$1,069.25	$1,383.27