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 $967.97 / $1,462.34 / $1,708.43	Professional		$967.97	$1,462.34	$1,708.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $714.91 / $1,517.53 / $1,810.47	Professional		$714.91	$1,517.53	$1,810.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $862.90 / $1,462.34 / $1,871.80	Facility		$862.90	$1,462.34	$1,871.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,605.96 / $1,849.22 / $2,189.86	Professional		$1,605.96	$1,849.22	$2,189.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,760.33	Professional		$32.34	$32.34	$1,760.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,960.99 / $8,854.77 / $10,870.07	Facility		$5,960.99	$8,854.77	$10,870.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,516.94 / $1,727.34 / $2,102.44	Professional		$1,516.94	$1,727.34	$2,102.44
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 $1,182.29 / $1,411.97 / $1,925.41	Professional		$1,182.29	$1,411.97	$1,925.41