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 $151.11 / $1,555.27 / $4,504.88	Professional		$151.11	$1,555.27	$4,504.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.62 / $290.58 / $2,783.77	Professional		$212.62	$290.58	$2,783.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $174.21 / $660.59 / $4,775.17	Facility		$174.21	$660.59	$4,775.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $238.57 / $308.62 / $2,483.56	Professional		$238.57	$308.62	$2,483.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,973.63 / $2,199.19	Professional		$32.34	$1,973.63	$2,199.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,327.80 / $4,697.79 / $5,755.74	Facility		$3,327.80	$4,697.79	$5,755.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $221.39 / $279.33 / $2,618.51	Professional		$221.39	$279.33	$2,618.51
United Facility/Professional Facility Modifier Low / Median / High Price $3,450.00 / $6,124.00 / $7,609.00	Facility		$3,450.00	$6,124.00	$7,609.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,662.99 / $2,309.85 / $3,526.10	Professional		$1,662.99	$2,309.85	$3,526.10