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 $804.45 / $1,288.32 / $1,406.98	Professional		$804.45	$1,288.32	$1,406.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $611.51 / $1,270.90 / $1,575.94	Professional		$611.51	$1,270.90	$1,575.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $804.45 / $1,269.95 / $1,603.96	Facility		$804.45	$1,269.95	$1,603.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,534.98 / $1,674.52 / $1,860.58	Professional		$1,534.98	$1,674.52	$1,860.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,485.42	Professional		$32.34	$32.34	$1,485.42
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 $1,416.56 / $1,429.13 / $1,736.98	Professional		$1,416.56	$1,429.13	$1,736.98
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 $763.08 / $1,169.08 / $1,585.80	Professional		$763.08	$1,169.08	$1,585.80