Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $804.66 / $4,500.00 / $7,781.19	Facility		$804.66	$4,500.00	$7,781.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.05 / $1,652.15 / $5,187.46	Professional		$166.05	$1,652.15	$5,187.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.93 / $336.10 / $3,463.40	Professional		$245.93	$336.10	$3,463.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $205.99 / $767.11 / $5,498.71	Facility		$205.99	$767.11	$5,498.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $281.80 / $1,687.11 / $3,061.92	Professional		$281.80	$1,687.11	$3,061.92
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $2,530.67 / $2,530.67 / $2,530.67	Professional	50	$2,530.67	$2,530.67	$2,530.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $2,432.96 / $2,711.01	Professional		$32.34	$2,432.96	$2,711.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,906.36 / $13,217.86 / $17,141.09	Facility		$9,906.36	$13,217.86	$17,141.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $324.36 / $353.92 / $3,283.85	Professional		$324.36	$353.92	$3,283.85
United Facility/Professional Facility Modifier Low / Median / High Price $11,800.00 / $26,422.00 / $29,092.00	Facility		$11,800.00	$26,422.00	$29,092.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,949.92 / $3,002.95 / $4,084.08	Professional		$1,949.92	$3,002.95	$4,084.08