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 $680.93 / $731.20 / $1,170.25	Professional		$680.93	$731.20	$1,170.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $655.07 / $767.96 / $895.27	Professional		$655.07	$767.96	$895.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $466.38 / $851.62 / $1,497.92	Facility		$466.38	$851.62	$1,497.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $763.22 / $765.96 / $925.12	Professional		$763.22	$765.96	$925.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $78.00 / $826.76	Professional		$30.00	$78.00	$826.76
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 $900.46 / $959.76 / $981.74	Professional		$900.46	$959.76	$981.74
United Facility/Professional Facility Modifier Low / Median / High Price $5,550.00 / $11,831.32 / $12,233.00	Facility		$5,550.00	$11,831.32	$12,233.00
United Facility/Professional Professional Modifier Low / Median / High Price $466.28 / $603.98 / $958.48	Professional		$466.28	$603.98	$958.48