Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $609.37 / $1,628.00 / $4,500.00	Facility		$609.37	$1,628.00	$4,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.31 / $512.08 / $1,789.32	Professional		$177.31	$512.08	$1,789.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.59 / $362.84 / $1,053.63	Professional		$213.59	$362.84	$1,053.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $223.99 / $512.08 / $1,789.32	Facility		$223.99	$512.08	$1,789.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $279.68 / $358.02 / $1,115.30	Professional		$279.68	$358.02	$1,115.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $890.26	Professional		$32.34	$32.34	$890.26
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 $325.70 / $397.27 / $1,181.04	Professional		$325.70	$397.27	$1,181.04
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 $230.42 / $605.94 / $1,151.79	Professional		$230.42	$605.94	$1,151.79