Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $5,519.00	Facility		$4,500.00	$4,500.00	$5,519.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $826.74 / $939.58 / $2,174.88	Professional		$826.74	$939.58	$2,174.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $993.52 / $1,216.21 / $1,357.82	Professional		$993.52	$1,216.21	$1,357.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $863.00 / $1,155.08 / $2,783.85	Facility		$863.00	$1,155.08	$2,783.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,161.36 / $1,320.89 / $1,407.72	Professional		$1,161.36	$1,320.89	$1,407.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,103.99	Professional		$32.34	$32.34	$1,103.99
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 $1,320.88 / $1,446.97 / $1,463.80	Professional		$1,320.88	$1,446.97	$1,463.80
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 $773.40 / $1,135.79 / $1,678.92	Professional		$773.40	$1,135.79	$1,678.92