Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,182.69 / $5,519.00 / $9,040.93	Facility		$1,182.69	$5,519.00	$9,040.93
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,751.16 / $3,751.16 / $3,751.16	Facility	50	$3,751.16	$3,751.16	$3,751.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $554.91 / $902.81 / $1,182.69	Professional		$554.91	$902.81	$1,182.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $901.45 / $1,103.50 / $1,231.98	Professional		$901.45	$1,103.50	$1,231.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $761.49 / $993.86 / $1,272.14	Facility		$761.49	$993.86	$1,272.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,067.96 / $1,132.69 / $1,294.50	Professional		$1,067.96	$1,132.69	$1,294.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $901.42 / $1,134.04	Professional		$32.34	$901.42	$1,134.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,614.19 / $8,752.65 / $11,549.09	Facility		$5,614.19	$8,752.65	$11,549.09
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $7,637.69 / $13,128.98 / $18,010.05	Facility	50	$7,637.69	$13,128.98	$18,010.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,019.42 / $1,019.42 / $1,210.85	Professional		$1,019.42	$1,019.42	$1,210.85
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 $541.92 / $921.69 / $1,353.27	Professional		$541.92	$921.69	$1,353.27