Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,805.00 / $6,899.00	Facility		$4,500.00	$4,805.00	$6,899.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.50 / $2,582.84 / $6,360.22	Professional		$182.50	$2,582.84	$6,360.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $232.40 / $317.61 / $5,012.50	Professional		$232.40	$317.61	$5,012.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $225.58 / $584.67 / $6,678.23	Facility		$225.58	$584.67	$6,678.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $271.66 / $2,584.15 / $4,614.56	Professional		$271.66	$2,584.15	$4,614.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $55.00 / $3,670.73	Professional		$30.00	$55.00	$3,670.73
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,556.81 / $14,097.25 / $17,807.80	Facility		$10,556.81	$14,097.25	$17,807.80
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $14,800.41 / $17,920.70 / $19,759.31	Facility	50	$14,800.41	$17,920.70	$19,759.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $317.83 / $342.39 / $4,997.42	Professional		$317.83	$342.39	$4,997.42
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 $3,217.39 / $4,457.43 / $6,597.10	Professional		$3,217.39	$4,457.43	$6,597.10