Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,415.00 / $4,500.00 / $8,439.00	Facility		$4,415.00	$4,500.00	$8,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $675.57 / $936.65 / $1,356.00	Professional		$675.57	$936.65	$1,356.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $735.07 / $980.09 / $1,163.84	Professional		$735.07	$980.09	$1,163.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $632.66 / $1,190.01 / $1,577.46	Facility		$632.66	$1,190.01	$1,577.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,090.91 / $1,190.08 / $1,556.04	Professional		$1,090.91	$1,190.08	$1,556.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $930.98 / $1,171.23	Professional		$32.34	$930.98	$1,171.23
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 $1,147.21 / $1,349.66 / $1,556.04	Professional		$1,147.21	$1,349.66	$1,556.04
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 $729.60 / $956.47 / $1,352.73	Professional		$729.60	$956.47	$1,352.73