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 $824.56 / $952.09 / $2,110.73	Professional		$824.56	$952.09	$2,110.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $960.58 / $1,175.86 / $1,312.79	Professional		$960.58	$1,175.86	$1,312.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $619.04 / $1,180.73 / $2,701.73	Facility		$619.04	$1,180.73	$2,701.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.47 / $1,275.34 / $1,457.54	Professional		$1,202.47	$1,275.34	$1,457.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,112.04 / $1,239.13	Professional		$32.34	$1,112.04	$1,239.13
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 $1,309.15 / $1,491.63 / $1,499.06	Professional		$1,309.15	$1,491.63	$1,499.06
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 $597.64 / $832.02 / $1,273.96	Professional		$597.64	$832.02	$1,273.96