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 $854.12 / $1,311.37 / $1,432.49	Professional		$854.12	$1,311.37	$1,432.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $627.12 / $1,301.92 / $1,636.82	Professional		$627.12	$1,301.92	$1,636.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $854.12 / $1,311.37 / $1,633.04	Facility		$854.12	$1,311.37	$1,633.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,593.69 / $1,738.57 / $1,931.74	Professional		$1,593.69	$1,738.57	$1,931.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,542.99	Professional		$32.34	$32.34	$1,542.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,960.99 / $8,854.77 / $10,870.07	Facility		$5,960.99	$8,854.77	$10,870.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,473.81 / $1,515.06 / $1,755.32	Professional		$1,473.81	$1,515.06	$1,755.32
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 $952.69 / $1,201.65 / $1,638.61	Professional		$952.69	$1,201.65	$1,638.61