Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,876.37 / $4,500.00 / $7,761.00	Facility		$2,876.37	$4,500.00	$7,761.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $760.02 / $1,218.88 / $1,323.45	Professional		$760.02	$1,218.88	$1,323.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $567.17 / $1,204.00 / $1,515.81	Professional		$567.17	$1,204.00	$1,515.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $760.02 / $1,202.03 / $1,508.73	Facility		$760.02	$1,202.03	$1,508.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,422.35 / $1,508.55 / $1,724.06	Professional		$1,422.35	$1,508.55	$1,724.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,376.83	Professional		$32.34	$32.34	$1,376.83
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 $1,337.97 / $1,349.85 / $1,631.28	Professional		$1,337.97	$1,349.85	$1,631.28
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 $909.30 / $1,143.13 / $1,513.80	Professional		$909.30	$1,143.13	$1,513.80