Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,628.00 / $4,500.00 / $7,205.00	Facility		$1,628.00	$4,500.00	$7,205.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $716.91 / $1,080.16 / $1,308.01	Professional		$716.91	$1,080.16	$1,308.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $558.66 / $1,116.97 / $1,393.48	Professional		$558.66	$1,116.97	$1,393.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $633.49 / $1,080.16 / $1,408.76	Facility		$633.49	$1,080.16	$1,408.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,164.04 / $1,404.22 / $1,702.08	Professional		$1,164.04	$1,404.22	$1,702.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,357.76	Professional		$32.34	$32.34	$1,357.76
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 $1,103.31 / $1,332.72 / $1,613.00	Professional		$1,103.31	$1,332.72	$1,613.00
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 $886.19 / $1,095.59 / $1,469.10	Professional		$886.19	$1,095.59	$1,469.10