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 $700.52 / $1,061.82 / $1,283.66	Professional		$700.52	$1,061.82	$1,283.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $531.82 / $1,095.51 / $1,364.96	Professional		$531.82	$1,095.51	$1,364.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $617.70 / $1,061.82 / $1,425.02	Facility		$617.70	$1,061.82	$1,425.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,127.21 / $1,363.11 / $1,652.26	Professional		$1,127.21	$1,363.11	$1,652.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,329.41	Professional		$32.34	$32.34	$1,329.41
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 $1,072.61 / $1,303.30 / $1,586.04	Professional		$1,072.61	$1,303.30	$1,586.04
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 $885.15 / $1,062.16 / $1,466.82	Professional		$885.15	$1,062.16	$1,466.82