Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,897.00 / $4,500.00 / $7,761.00	Facility		$2,897.00	$4,500.00	$7,761.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.25 / $414.18 / $1,157.53	Professional		$234.25	$414.18	$1,157.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $271.10 / $394.88 / $656.45	Professional		$271.10	$394.88	$656.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $282.47 / $547.41 / $1,157.53	Facility		$282.47	$547.41	$1,157.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $380.01 / $460.62 / $761.44	Professional		$380.01	$460.62	$761.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $539.60 / $678.85	Professional		$32.34	$539.60	$678.85
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 $423.44 / $537.39 / $796.47	Professional		$423.44	$537.39	$796.47
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 $367.46 / $476.58 / $744.86	Professional		$367.46	$476.58	$744.86