Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,407.00 / $4,500.00 / $7,045.00	Facility		$1,407.00	$4,500.00	$7,045.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.67 / $463.76 / $1,232.81	Professional		$288.67	$463.76	$1,232.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $326.85 / $500.73 / $720.68	Professional		$326.85	$500.73	$720.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $373.61 / $618.66 / $1,232.81	Facility		$373.61	$618.66	$1,232.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $465.93 / $564.76 / $826.12	Professional		$465.93	$564.76	$826.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $588.60 / $740.49	Professional		$32.34	$588.60	$740.49
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $877.58 / $1,237.18 / $1,667.05	Facility		$877.58	$1,237.18	$1,667.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $535.79 / $575.45 / $849.79	Professional		$535.79	$575.45	$849.79
United Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $8,244.00 / $9,193.00	Facility		$1,800.00	$8,244.00	$9,193.00
United Facility/Professional Professional Modifier Low / Median / High Price $433.71 / $578.69 / $873.94	Professional		$433.71	$578.69	$873.94