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 $768.93 / $1,076.24 / $1,575.71	Professional		$768.93	$1,076.24	$1,575.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $872.35 / $1,139.52 / $1,353.18	Professional		$872.35	$1,139.52	$1,353.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $734.87 / $1,318.07 / $1,830.19	Facility		$734.87	$1,318.07	$1,830.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,264.91 / $1,361.10 / $1,806.04	Professional		$1,264.91	$1,361.10	$1,806.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,079.13 / $1,218.36	Professional		$32.34	$1,079.13	$1,218.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,480.35 / $9,397.43 / $15,505.75	Facility		$7,480.35	$9,397.43	$15,505.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,330.77 / $1,565.61 / $1,806.05	Professional		$1,330.77	$1,565.61	$1,806.05
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 $811.44 / $1,162.72 / $1,691.63	Professional		$811.44	$1,162.72	$1,691.63