Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,805.00 / $6,899.00	Facility		$4,500.00	$4,805.00	$6,899.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $866.94 / $1,551.93 / $2,959.86	Professional		$866.94	$1,551.93	$2,959.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $811.51 / $1,415.05 / $1,802.69	Professional		$811.51	$1,415.05	$1,802.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $918.48 / $1,551.93 / $3,107.85	Facility		$918.48	$1,551.93	$3,107.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.87 / $1,810.76 / $2,011.96	Professional		$1,659.87	$1,810.76	$2,011.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,607.34	Professional		$32.34	$32.34	$1,607.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,803.94 / $7,766.93 / $9,755.03	Facility		$5,803.94	$7,766.93	$9,755.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,907.79 / $2,052.82 / $2,078.39	Professional		$1,907.79	$2,052.82	$2,078.39
United Facility/Professional Facility Modifier Low / Median / High Price $10,120.00 / $22,317.00 / $27,159.00	Facility		$10,120.00	$22,317.00	$27,159.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,082.89 / $1,392.30 / $1,794.52	Professional		$1,082.89	$1,392.30	$1,794.52