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 $747.35 / $967.65 / $1,494.67	Professional		$747.35	$967.65	$1,494.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $802.74 / $1,070.32 / $1,271.01	Professional		$802.74	$1,070.32	$1,271.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $679.52 / $1,249.51 / $1,718.87	Facility		$679.52	$1,249.51	$1,718.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,192.32 / $1,300.72 / $1,710.88	Professional		$1,192.32	$1,300.72	$1,710.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,016.75 / $1,279.14	Professional		$32.34	$1,016.75	$1,279.14
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 $1,258.26 / $1,480.30 / $1,710.88	Professional		$1,258.26	$1,480.30	$1,710.88
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 $752.20 / $1,070.67 / $1,522.38	Professional		$752.20	$1,070.67	$1,522.38