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 $732.35 / $991.99 / $1,469.17	Professional		$732.35	$991.99	$1,469.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $798.76 / $1,065.01 / $1,264.70	Professional		$798.76	$1,065.01	$1,264.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $670.62 / $1,248.79 / $1,777.70	Facility		$670.62	$1,248.79	$1,777.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,154.97 / $1,259.96 / $1,672.18	Professional		$1,154.97	$1,259.96	$1,672.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $989.75 / $1,245.17	Professional		$32.34	$989.75	$1,245.17
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,072.74 / $7,629.08 / $12,587.97	Facility		$6,072.74	$7,629.08	$12,587.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,213.49 / $1,427.64 / $1,672.18	Professional		$1,213.49	$1,427.64	$1,672.18
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 $765.36 / $1,058.76 / $1,473.32	Professional		$765.36	$1,058.76	$1,473.32