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 $874.19 / $1,404.34 / $1,526.56	Professional		$874.19	$1,404.34	$1,526.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $654.69 / $1,386.07 / $1,737.77	Professional		$654.69	$1,386.07	$1,737.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $874.19 / $1,383.44 / $1,740.28	Facility		$874.19	$1,383.44	$1,740.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,634.77 / $1,783.39 / $1,981.54	Professional		$1,634.77	$1,783.39	$1,981.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,582.51	Professional		$32.34	$32.34	$1,582.51
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 $1,539.76 / $1,553.43 / $1,878.60	Professional		$1,539.76	$1,553.43	$1,878.60
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 $1,033.20 / $1,328.40 / $1,800.72	Professional		$1,033.20	$1,328.40	$1,800.72