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 $257.14 / $483.87 / $832.99	Professional		$257.14	$483.87	$832.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $314.73 / $430.13 / $584.16	Professional		$314.73	$430.13	$584.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $305.12 / $532.53 / $832.99	Facility		$305.12	$532.53	$832.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $366.66 / $444.44 / $664.40	Professional		$366.66	$444.44	$664.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $78.00 / $593.39	Professional		$30.00	$78.00	$593.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,260.25 / $8,585.95 / $11,346.40	Facility		$4,260.25	$8,585.95	$11,346.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $427.02 / $461.04 / $689.16	Professional		$427.02	$461.04	$689.16
United Facility/Professional Facility Modifier Low / Median / High Price $3,450.00 / $6,124.00 / $7,609.00	Facility		$3,450.00	$6,124.00	$7,609.00
United Facility/Professional Professional Modifier Low / Median / High Price $349.35 / $492.99 / $748.26	Professional		$349.35	$492.99	$748.26