Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,422.00 / $4,500.00 / $8,622.00	Facility		$3,422.00	$4,500.00	$8,622.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $656.53 / $915.26 / $1,925.43	Professional		$656.53	$915.26	$1,925.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $685.77 / $1,039.27 / $1,253.24	Professional		$685.77	$1,039.27	$1,253.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $695.92 / $1,171.53 / $2,214.23	Facility		$695.92	$1,171.53	$2,214.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,086.10 / $1,151.94 / $1,316.50	Professional		$1,086.10	$1,151.94	$1,316.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,033.18	Professional		$32.34	$32.34	$1,033.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,863.76 / $12,974.31 / $17,482.34	Facility		$9,863.76	$12,974.31	$17,482.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,146.08 / $1,338.26 / $1,360.77	Professional		$1,146.08	$1,338.26	$1,360.77
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 $684.35 / $942.77 / $1,443.74	Professional		$684.35	$942.77	$1,443.74