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 $718.34 / $870.31 / $1,964.63	Professional		$718.34	$870.31	$1,964.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $894.07 / $1,094.46 / $1,221.89	Professional		$894.07	$1,094.46	$1,221.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $681.19 / $1,099.01 / $2,514.73	Facility		$681.19	$1,099.01	$2,514.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,062.10 / $1,126.48 / $1,287.40	Professional		$1,062.10	$1,126.48	$1,287.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,010.92 / $1,126.46	Professional		$32.34	$1,010.92	$1,126.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,251.69 / $13,217.86 / $17,141.09	Facility		$6,251.69	$13,217.86	$17,141.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,200.04 / $1,319.00 / $1,331.59	Professional		$1,200.04	$1,319.00	$1,331.59
United Facility/Professional Facility Modifier Low / Median / High Price $11,800.00 / $42,618.00 / $42,778.00	Facility		$11,800.00	$42,618.00	$42,778.00
United Facility/Professional Professional Modifier Low / Median / High Price $678.60 / $851.86 / $1,372.80	Professional		$678.60	$851.86	$1,372.80