Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,972.60 / $5,091.75 / $8,622.00	Facility		$1,972.60	$5,091.75	$8,622.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.96 / $1,030.42 / $1,889.72	Professional		$575.96	$1,030.42	$1,889.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $929.66 / $1,095.35 / $1,270.54	Professional		$929.66	$1,095.35	$1,270.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $659.66 / $1,162.69 / $2,121.79	Facility		$659.66	$1,162.69	$2,121.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,078.64 / $1,078.64 / $1,307.44	Professional		$1,078.64	$1,078.64	$1,307.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $78.00 / $1,169.40	Professional		$30.00	$78.00	$1,169.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,040.66 / $7,582.86 / $9,755.03	Facility		$5,040.66	$7,582.86	$9,755.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,275.17 / $1,361.66 / $1,387.19	Professional		$1,275.17	$1,361.66	$1,387.19
United Facility/Professional Facility Modifier Low / Median / High Price $5,550.00 / $6,486.14 / $12,233.00	Facility		$5,550.00	$6,486.14	$12,233.00
United Facility/Professional Professional Modifier Low / Median / High Price $641.48 / $892.50 / $1,364.56	Professional		$641.48	$892.50	$1,364.56