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 $609.72 / $850.43 / $1,794.27	Professional		$609.72	$850.43	$1,794.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $590.77 / $965.89 / $1,166.75	Professional		$590.77	$965.89	$1,166.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $718.72 / $1,121.19 / $1,901.93	Facility		$718.72	$1,121.19	$1,901.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.73 / $1,061.38 / $1,213.00	Professional		$1,000.73	$1,061.38	$1,213.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $865.58 / $1,088.96	Professional		$32.34	$865.58	$1,088.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,040.66 / $7,239.58 / $9,755.03	Facility		$5,040.66	$7,239.58	$9,755.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,061.09 / $1,242.17 / $1,248.34	Professional		$1,061.09	$1,242.17	$1,248.34
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 $674.12 / $887.00 / $1,386.99	Professional		$674.12	$887.00	$1,386.99