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 $492.80 / $700.19 / $1,483.93	Professional		$492.80	$700.19	$1,483.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $483.09 / $789.99 / $961.88	Professional		$483.09	$789.99	$961.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $503.44 / $923.55 / $1,572.97	Facility		$503.44	$923.55	$1,572.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $819.79 / $869.47 / $993.68	Professional		$819.79	$869.47	$993.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $800.92	Professional		$32.34	$32.34	$800.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,662.74 / $7,239.58 / $9,755.03	Facility		$3,662.74	$7,239.58	$9,755.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $869.05 / $1,015.35 / $1,025.44	Professional		$869.05	$1,015.35	$1,025.44
United Facility/Professional Facility Modifier Low / Median / High Price $3,450.00 / $6,124.00 / $7,609.00	Facility		$3,450.00	$6,124.00	$7,609.00
United Facility/Professional Professional Modifier Low / Median / High Price $549.84 / $706.10 / $1,128.58	Professional		$549.84	$706.10	$1,128.58