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 $730.61 / $923.16 / $1,461.00	Professional		$730.61	$923.16	$1,461.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $784.39 / $1,045.84 / $1,241.95	Professional		$784.39	$1,045.84	$1,241.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $657.09 / $1,241.84 / $1,680.15	Facility		$657.09	$1,241.84	$1,680.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,163.50 / $1,269.27 / $1,671.60	Professional		$1,163.50	$1,269.27	$1,671.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $992.73 / $1,248.92	Professional		$32.34	$992.73	$1,248.92
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 $1,229.35 / $1,446.31 / $1,671.59	Professional		$1,229.35	$1,446.31	$1,671.59
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 $663.83 / $964.32 / $1,406.30	Professional		$663.83	$964.32	$1,406.30