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 $607.08 / $933.16 / $1,018.15	Professional		$607.08	$933.16	$1,018.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.15 / $920.90 / $1,161.08	Professional		$426.15	$920.90	$1,161.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $583.50 / $929.61 / $1,160.69	Facility		$583.50	$929.61	$1,160.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,091.99 / $1,191.26 / $1,323.62	Professional		$1,091.99	$1,191.26	$1,323.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,061.08	Professional		$32.34	$32.34	$1,061.08
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 $1,029.72 / $1,038.85 / $1,256.20	Professional		$1,029.72	$1,038.85	$1,256.20
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 $698.60 / $878.24 / $1,157.68	Professional		$698.60	$878.24	$1,157.68