Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $5,519.00	Facility		$4,500.00	$4,500.00	$5,519.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $749.14 / $1,020.45 / $1,503.10	Professional		$749.14	$1,020.45	$1,503.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $833.15 / $1,084.05 / $1,287.31	Professional		$833.15	$1,084.05	$1,287.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $702.30 / $1,256.64 / $1,737.21	Facility		$702.30	$1,256.64	$1,737.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,251.03 / $1,364.76 / $1,720.55	Professional		$1,251.03	$1,364.76	$1,720.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,066.99 / $1,342.34	Professional		$32.34	$1,066.99	$1,342.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,703.82 / $18,472.14 / $30,479.03	Facility		$14,703.82	$18,472.14	$30,479.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,272.99 / $1,497.63 / $1,720.55	Professional		$1,272.99	$1,497.63	$1,720.55
United Facility/Professional Facility Modifier Low / Median / High Price $2,600.00 / $11,800.00 / $29,092.00	Facility		$2,600.00	$11,800.00	$29,092.00
United Facility/Professional Professional Modifier Low / Median / High Price $788.47 / $1,107.59 / $1,576.20	Professional		$788.47	$1,107.59	$1,576.20