Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,415.00 / $4,500.00 / $8,439.00	Facility		$4,415.00	$4,500.00	$8,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $637.82 / $889.74 / $1,870.95	Professional		$637.82	$889.74	$1,870.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $666.40 / $1,009.87 / $1,217.79	Professional		$666.40	$1,009.87	$1,217.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $676.09 / $1,138.86 / $2,151.59	Facility		$676.09	$1,138.86	$2,151.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,057.83 / $1,121.94 / $1,282.22	Professional		$1,057.83	$1,121.94	$1,282.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $890.97 / $1,120.90	Professional		$32.34	$890.97	$1,120.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $17,280.86 / $23,146.31 / $31,188.68	Facility		$17,280.86	$23,146.31	$31,188.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,114.92 / $1,300.31 / $1,322.18	Professional		$1,114.92	$1,300.31	$1,322.18
United Facility/Professional Facility Modifier Low / Median / High Price $11,800.00 / $26,422.00 / $29,092.00	Facility		$11,800.00	$26,422.00	$29,092.00
United Facility/Professional Professional Modifier Low / Median / High Price $695.23 / $939.50 / $1,401.57	Professional		$695.23	$939.50	$1,401.57