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 $416.81 / $1,336.95 / $3,952.09	Professional		$416.81	$1,336.95	$3,952.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $515.79 / $634.33 / $2,330.48	Professional		$515.79	$634.33	$2,330.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $400.89 / $1,297.27 / $4,189.22	Facility		$400.89	$1,297.27	$4,189.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $538.53 / $688.71 / $2,366.48	Professional		$538.53	$688.71	$2,366.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,086.89	Professional		$32.34	$32.34	$2,086.89
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 $613.08 / $679.36 / $2,513.37	Professional		$613.08	$679.36	$2,513.37
United Facility/Professional Facility Modifier Low / Median / High Price $9,360.00 / $16,762.00 / $17,870.00	Facility		$9,360.00	$16,762.00	$17,870.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,381.87 / $2,317.48 / $3,308.47	Professional		$1,381.87	$2,317.48	$3,308.47