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 $644.20 / $969.67 / $1,953.80	Professional		$644.20	$969.67	$1,953.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $634.23 / $1,026.36 / $1,243.80	Professional		$634.23	$1,026.36	$1,243.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $770.13 / $1,241.18 / $2,149.17	Facility		$770.13	$1,241.18	$2,149.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,068.51 / $1,133.27 / $1,295.16	Professional		$1,068.51	$1,133.27	$1,295.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,158.22	Professional		$32.34	$32.34	$1,158.22
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,660.78 / $13,168.12 / $17,807.80	Facility		$9,660.78	$13,168.12	$17,807.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,134.18 / $1,334.33 / $1,360.09	Professional		$1,134.18	$1,334.33	$1,360.09
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 $679.21 / $934.08 / $1,392.69	Professional		$679.21	$934.08	$1,392.69