Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,897.00 / $4,500.00 / $7,761.00	Facility		$2,897.00	$4,500.00	$7,761.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $697.42 / $991.46 / $1,398.14	Professional		$697.42	$991.46	$1,398.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $773.54 / $1,038.02 / $1,293.11	Professional		$773.54	$1,038.02	$1,293.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $665.74 / $1,394.97 / $1,677.77	Facility		$665.74	$1,394.97	$1,677.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,125.07 / $1,227.34 / $1,604.62	Professional		$1,125.07	$1,227.34	$1,604.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $959.79 / $1,083.64	Professional		$32.34	$959.79	$1,083.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,138.70 / $17,361.59 / $22,059.79	Facility		$8,138.70	$17,361.59	$22,059.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,182.33 / $1,390.99 / $1,604.62	Professional		$1,182.33	$1,390.99	$1,604.62
United Facility/Professional Facility Modifier Low / Median / High Price $1,350.00 / $5,550.00 / $12,233.00	Facility		$1,350.00	$5,550.00	$12,233.00
United Facility/Professional Professional Modifier Low / Median / High Price $747.46 / $1,028.56 / $1,463.72	Professional		$747.46	$1,028.56	$1,463.72