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 $497.48 / $744.84 / $1,208.72	Professional		$497.48	$744.84	$1,208.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $493.86 / $668.28 / $818.07	Professional		$493.86	$668.28	$818.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $453.39 / $730.94 / $1,269.16	Facility		$453.39	$730.94	$1,269.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $594.03 / $720.04 / $960.04	Professional		$594.03	$720.04	$960.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $78.00 / $858.14	Professional		$30.00	$78.00	$858.14
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 $693.54 / $751.90 / $999.75	Professional		$693.54	$751.90	$999.75
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 $409.44 / $607.66 / $975.91	Professional		$409.44	$607.66	$975.91