Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,675.90 / $5,519.00 / $23,002.12	Facility		$1,675.90	$5,519.00	$23,002.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $699.11 / $946.10 / $1,408.32	Professional		$699.11	$946.10	$1,408.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $763.21 / $1,046.65 / $1,212.19	Professional		$763.21	$1,046.65	$1,212.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $655.66 / $1,214.28 / $1,704.07	Facility		$655.66	$1,214.28	$1,704.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,124.01 / $1,226.20 / $1,615.57	Professional		$1,124.01	$1,226.20	$1,615.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $963.67 / $1,212.34	Professional		$32.34	$963.67	$1,212.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,660.78 / $14,097.25 / $17,807.80	Facility		$9,660.78	$14,097.25	$17,807.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,181.20 / $1,389.65 / $1,615.57	Professional		$1,181.20	$1,389.65	$1,615.57
United Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $10,120.00 / $27,159.00	Facility		$2,100.00	$10,120.00	$27,159.00
United Facility/Professional Professional Modifier Low / Median / High Price $702.71 / $973.96 / $1,386.02	Professional		$702.71	$973.96	$1,386.02