Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,055.97 / $2,897.00 / $12,996.95	Facility		$1,055.97	$2,897.00	$12,996.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $644.29 / $824.98 / $1,956.42	Professional		$644.29	$824.98	$1,956.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $896.29 / $1,097.17 / $1,224.92	Professional		$896.29	$1,097.17	$1,224.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $636.08 / $1,099.01 / $2,504.21	Facility		$636.08	$1,099.01	$2,504.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,035.95 / $1,098.74 / $1,255.70	Professional		$1,035.95	$1,098.74	$1,255.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $986.25 / $1,098.96	Professional		$32.34	$986.25	$1,098.96
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 $1,185.33 / $1,292.33 / $1,312.61	Professional		$1,185.33	$1,292.33	$1,312.61
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 $557.51 / $953.56 / $1,440.93	Professional		$557.51	$953.56	$1,440.93