Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,628.00 / $4,500.00 / $7,205.00	Facility		$1,628.00	$4,500.00	$7,205.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $751.47 / $1,163.01 / $1,527.39	Professional		$751.47	$1,163.01	$1,527.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $637.44 / $1,306.65 / $1,616.05	Professional		$637.44	$1,306.65	$1,616.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $740.89 / $1,269.99 / $1,685.94	Facility		$740.89	$1,269.99	$1,685.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,362.04 / $1,639.57 / $1,987.36	Professional		$1,362.04	$1,639.57	$1,987.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,593.10	Professional		$32.34	$32.34	$1,593.10
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 $1,294.09 / $1,562.12 / $1,888.03	Professional		$1,294.09	$1,562.12	$1,888.03
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 $1,050.99 / $1,353.60 / $1,743.13	Professional		$1,050.99	$1,353.60	$1,743.13