Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $5,519.00	Facility		$4,500.00	$4,500.00	$5,519.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $778.57 / $949.81 / $2,047.35	Professional		$778.57	$949.81	$2,047.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $996.09 / $1,219.33 / $1,361.32	Professional		$996.09	$1,219.33	$1,361.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $812.23 / $1,170.56 / $2,620.61	Facility		$812.23	$1,170.56	$2,620.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,093.06 / $1,242.25 / $1,324.92	Professional		$1,093.06	$1,242.25	$1,324.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,039.03 / $1,157.77	Professional		$32.34	$1,039.03	$1,157.77
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,746.02 / $8,108.76 / $9,934.86	Facility		$5,746.02	$8,108.76	$9,934.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,242.25 / $1,360.99 / $1,376.34	Professional		$1,242.25	$1,360.99	$1,376.34
United Facility/Professional Facility Modifier Low / Median / High Price $9,360.00 / $16,762.00 / $17,870.00	Facility		$9,360.00	$16,762.00	$17,870.00
United Facility/Professional Professional Modifier Low / Median / High Price $747.70 / $1,024.21 / $1,595.44	Professional		$747.70	$1,024.21	$1,595.44