Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,422.00 / $4,500.00 / $8,622.00	Facility		$3,422.00	$4,500.00	$8,622.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $690.22 / $1,110.06 / $1,205.20	Professional		$690.22	$1,110.06	$1,205.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $516.46 / $1,092.85 / $1,364.65	Professional		$516.46	$1,092.85	$1,364.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $690.22 / $1,094.06 / $1,373.93	Facility		$690.22	$1,094.06	$1,373.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,293.73 / $1,411.34 / $1,568.16	Professional		$1,293.73	$1,411.34	$1,568.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,251.88	Professional		$32.34	$32.34	$1,251.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,081.40 / $8,854.77 / $10,870.07	Facility		$4,081.40	$8,854.77	$10,870.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,217.81 / $1,228.61 / $1,484.70	Professional		$1,217.81	$1,228.61	$1,484.70
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 $810.95 / $1,071.58 / $1,413.64	Professional		$810.95	$1,071.58	$1,413.64