Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,628.00 / $4,500.00 / $7,205.00	Facility		$1,628.00	$4,500.00	$7,205.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $629.58 / $998.69 / $1,612.93	Professional		$629.58	$998.69	$1,612.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $905.08 / $1,068.18 / $1,236.94	Professional		$905.08	$1,068.18	$1,236.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $703.80 / $1,184.13 / $1,709.71	Facility		$703.80	$1,184.13	$1,709.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,043.96 / $1,107.23 / $1,265.40	Professional		$1,043.96	$1,107.23	$1,265.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $78.00 / $1,133.30	Professional		$30.00	$78.00	$1,133.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,660.78 / $14,097.25 / $17,807.80	Facility		$9,660.78	$14,097.25	$17,807.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,239.85 / $1,320.34 / $1,347.86	Professional		$1,239.85	$1,320.34	$1,347.86
United Facility/Professional Facility Modifier Low / Median / High Price $10,120.00 / $22,317.00 / $27,159.00	Facility		$10,120.00	$22,317.00	$27,159.00
United Facility/Professional Professional Modifier Low / Median / High Price $648.16 / $819.45 / $1,329.04	Professional		$648.16	$819.45	$1,329.04