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 $674.85 / $1,016.29 / $1,254.16	Professional		$674.85	$1,016.29	$1,254.16
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $2,037.06 / $2,037.06 / $2,037.06	Professional	50	$2,037.06	$2,037.06	$2,037.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $925.20 / $1,170.54 / $1,427.01	Professional		$925.20	$1,170.54	$1,427.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $828.13 / $1,167.68 / $1,605.32	Facility		$828.13	$1,167.68	$1,605.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,094.11 / $1,326.20 / $1,628.96	Professional		$1,094.11	$1,326.20	$1,628.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,298.64	Professional		$32.34	$32.34	$1,298.64
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 $1,037.83 / $1,252.84 / $1,545.40	Professional		$1,037.83	$1,252.84	$1,545.40
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 $859.65 / $1,209.98 / $1,560.50	Professional		$859.65	$1,209.98	$1,560.50