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 $369.84 / $1,004.94 / $2,563.60	Professional		$369.84	$1,004.94	$2,563.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $458.33 / $626.38 / $1,487.70	Professional		$458.33	$626.38	$1,487.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $421.22 / $1,065.24 / $2,563.60	Facility		$421.22	$1,065.24	$2,563.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $535.33 / $1,270.25 / $1,539.70	Professional		$535.33	$1,270.25	$1,539.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,221.82	Professional		$32.34	$32.34	$1,221.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,551.62 / $7,934.73 / $9,934.86	Facility		$5,551.62	$7,934.73	$9,934.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $611.37 / $671.90 / $1,632.26	Professional		$611.37	$671.90	$1,632.26
United Facility/Professional Facility Modifier Low / Median / High Price $9,360.00 / $17,585.00 / $18,758.00	Facility		$9,360.00	$17,585.00	$18,758.00
United Facility/Professional Professional Modifier Low / Median / High Price $902.96 / $1,359.91 / $2,054.96	Professional		$902.96	$1,359.91	$2,054.96