Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $5,519.00	Facility		$4,500.00	$4,500.00	$5,519.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $683.29 / $1,003.42 / $1,287.35	Professional		$683.29	$1,003.42	$1,287.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $522.58 / $1,046.89 / $1,400.06	Professional		$522.58	$1,046.89	$1,400.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $602.87 / $1,003.42 / $1,434.89	Facility		$602.87	$1,003.42	$1,434.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.71 / $1,299.04 / $1,647.74	Professional		$1,071.71	$1,299.04	$1,647.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,332.07	Professional		$32.34	$32.34	$1,332.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,597.82 / $6,572.09 / $8,615.14	Facility		$4,597.82	$6,572.09	$8,615.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,019.42 / $1,244.93 / $1,589.61	Professional		$1,019.42	$1,244.93	$1,589.61
United Facility/Professional Facility Modifier Low / Median / High Price $5,550.00 / $12,152.00 / $12,233.00	Facility		$5,550.00	$12,152.00	$12,233.00
United Facility/Professional Professional Modifier Low / Median / High Price $857.15 / $1,102.05 / $1,487.48	Professional		$857.15	$1,102.05	$1,487.48