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 $688.24 / $1,000.09 / $2,031.41	Professional		$688.24	$1,000.09	$2,031.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $665.56 / $1,111.98 / $1,340.91	Professional		$665.56	$1,111.98	$1,340.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $759.02 / $1,280.11 / $2,203.19	Facility		$759.02	$1,280.11	$2,203.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,136.82 / $1,205.72 / $1,377.96	Professional		$1,136.82	$1,205.72	$1,377.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $974.38 / $1,225.83	Professional		$32.34	$974.38	$1,225.83
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 $1,198.20 / $1,403.65 / $1,427.12	Professional		$1,198.20	$1,403.65	$1,427.12
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 $734.40 / $960.99 / $1,528.84	Professional		$734.40	$960.99	$1,528.84