Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,262.36 / $4,500.00 / $11,851.38	Facility		$1,262.36	$4,500.00	$11,851.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.32 / $1,047.60 / $1,202.26	Professional		$645.32	$1,047.60	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $515.29 / $1,067.20 / $1,374.05	Professional		$515.29	$1,067.20	$1,374.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $690.47 / $1,047.60 / $1,370.58	Facility		$690.47	$1,047.60	$1,370.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,293.73 / $1,397.72 / $1,568.16	Professional		$1,293.73	$1,397.72	$1,568.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,251.81	Professional		$32.34	$32.34	$1,251.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,474.25 / $6,572.09 / $8,615.14	Facility		$3,474.25	$6,572.09	$8,615.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,216.80 / $1,227.59 / $1,482.08	Professional		$1,216.80	$1,227.59	$1,482.08
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 $778.75 / $979.01 / $1,300.20	Professional		$778.75	$979.01	$1,300.20