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 $773.71 / $1,240.56 / $1,348.07	Professional		$773.71	$1,240.56	$1,348.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $577.79 / $1,225.89 / $1,547.35	Professional		$577.79	$1,225.89	$1,547.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $773.71 / $1,223.67 / $1,536.80	Facility		$773.71	$1,223.67	$1,536.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,449.05 / $1,580.78 / $1,756.42	Professional		$1,449.05	$1,580.78	$1,756.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,402.17	Professional		$32.34	$32.34	$1,402.17
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 $1,361.80 / $1,373.89 / $1,660.53	Professional		$1,361.80	$1,373.89	$1,660.53
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 $921.55 / $1,184.84 / $1,527.14	Professional		$921.55	$1,184.84	$1,527.14