Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,897.00 / $4,500.00 / $7,761.00	Facility		$2,897.00	$4,500.00	$7,761.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $483.68 / $595.42 / $1,349.18	Professional		$483.68	$595.42	$1,349.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $617.52 / $755.92 / $843.94	Professional		$617.52	$755.92	$843.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $432.71 / $736.81 / $1,726.95	Facility		$432.71	$736.81	$1,726.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $719.45 / $763.05 / $872.06	Professional		$719.45	$763.05	$872.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $688.40 / $767.07	Professional		$32.34	$688.40	$767.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15,375.00 / $22,219.06 / $27,222.84	Facility		$15,375.00	$22,219.06	$27,222.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $820.58 / $895.11 / $904.45	Professional		$820.58	$895.11	$904.45
United Facility/Professional Facility Modifier Low / Median / High Price $12,000.00 / $110,408.00 / $163,251.00	Facility		$12,000.00	$110,408.00	$163,251.00
United Facility/Professional Professional Modifier Low / Median / High Price $500.21 / $721.51 / $1,099.11	Professional		$500.21	$721.51	$1,099.11