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 $791.52 / $1,263.68 / $1,369.95	Professional		$791.52	$1,263.68	$1,369.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $601.39 / $1,249.13 / $1,593.28	Professional		$601.39	$1,249.13	$1,593.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $777.05 / $1,172.33 / $1,561.74	Facility		$777.05	$1,172.33	$1,561.74
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 $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 $1,191.28 / $1,401.51 / $1,857.02	Professional		$1,191.28	$1,401.51	$1,857.02
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 $928.20 / $1,160.72 / $1,582.80	Professional		$928.20	$1,160.72	$1,582.80