Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,407.00 / $4,500.00 / $7,045.00	Facility		$1,407.00	$4,500.00	$7,045.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.25 / $451.20 / $1,260.96	Professional		$162.25	$451.20	$1,260.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.00 / $338.37 / $733.56	Professional		$195.00	$338.37	$733.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $217.12 / $497.54 / $1,260.96	Facility		$217.12	$497.54	$1,260.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $253.52 / $447.06 / $798.32	Professional		$253.52	$447.06	$798.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $567.07 / $713.41	Professional		$32.34	$567.07	$713.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,666.37 / $3,858.04 / $5,765.31	Facility		$2,666.37	$3,858.04	$5,765.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $297.94 / $360.31 / $839.12	Professional		$297.94	$360.31	$839.12
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 $412.92 / $527.62 / $837.31	Professional		$412.92	$527.62	$837.31