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 $974.38 / $1,555.52 / $1,685.74	Professional		$974.38	$1,555.52	$1,685.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $739.75 / $1,537.63 / $1,960.96	Professional		$739.75	$1,537.63	$1,960.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $835.44 / $1,443.03 / $1,921.74	Facility		$835.44	$1,443.03	$1,921.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $3,500.00	Professional		$30.00	$30.00	$3,500.00
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 $1,466.50 / $1,725.29 / $2,285.61	Professional		$1,466.50	$1,725.29	$2,285.61
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 $1,109.77 / $1,460.71 / $1,947.60	Professional		$1,109.77	$1,460.71	$1,947.60