Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,628.00 / $4,500.00 / $7,205.00	Facility		$1,628.00	$4,500.00	$7,205.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $365.87 / $710.77 / $1,434.43	Professional		$365.87	$710.77	$1,434.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $381.02 / $562.60 / $795.23	Professional		$381.02	$562.60	$795.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $397.97 / $698.33 / $1,434.43	Facility		$397.97	$698.33	$1,434.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $567.34 / $785.10 / $918.56	Professional		$567.34	$785.10	$918.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $764.47	Professional		$32.34	$32.34	$764.47
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,040.66 / $7,582.86 / $9,755.03	Facility		$5,040.66	$7,582.86	$9,755.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $656.68 / $708.14 / $985.75	Professional		$656.68	$708.14	$985.75
United Facility/Professional Facility Modifier Low / Median / High Price $5,550.00 / $12,152.00 / $12,233.00	Facility		$5,550.00	$12,152.00	$12,233.00
United Facility/Professional Professional Modifier Low / Median / High Price $506.09 / $650.70 / $892.38	Professional		$506.09	$650.70	$892.38