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 $349.14 / $584.87 / $1,172.83	Professional		$349.14	$584.87	$1,172.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $421.04 / $559.21 / $697.51	Professional		$421.04	$559.21	$697.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $396.44 / $671.63 / $1,172.83	Facility		$396.44	$671.63	$1,172.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $492.62 / $597.12 / $784.72	Professional		$492.62	$597.12	$784.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $558.62 / $702.78	Professional		$32.34	$558.62	$702.78
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 $570.26 / $614.04 / $810.46	Professional		$570.26	$614.04	$810.46
United Facility/Professional Facility Modifier Low / Median / High Price $5,550.00 / $6,486.14 / $12,233.00	Facility		$5,550.00	$6,486.14	$12,233.00
United Facility/Professional Professional Modifier Low / Median / High Price $413.23 / $588.98 / $877.46	Professional		$413.23	$588.98	$877.46