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 $725.41 / $841.77 / $1,922.68	Professional		$725.41	$841.77	$1,922.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $875.29 / $1,071.47 / $1,196.23	Professional		$875.29	$1,071.47	$1,196.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $672.08 / $1,099.01 / $2,461.03	Facility		$672.08	$1,099.01	$2,461.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $905.19 / $1,042.33 / $1,168.96	Professional		$905.19	$1,042.33	$1,168.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $860.98 / $959.38	Professional		$32.34	$860.98	$959.38
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 $1,127.72 / $1,127.72 / $1,295.66	Professional		$1,127.72	$1,127.72	$1,295.66
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 $619.54 / $861.30 / $1,369.74	Professional		$619.54	$861.30	$1,369.74