Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $5,519.00	Facility		$4,500.00	$4,500.00	$5,519.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $928.75 / $1,292.80 / $2,727.07	Professional		$928.75	$1,292.80	$2,727.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $896.38 / $1,440.87 / $1,775.20	Professional		$896.38	$1,440.87	$1,775.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $923.50 / $1,654.78 / $2,890.69	Facility		$923.50	$1,654.78	$2,890.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,537.64 / $1,630.83 / $1,863.80	Professional		$1,537.64	$1,630.83	$1,863.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,295.11 / $1,629.34	Professional		$32.34	$1,295.11	$1,629.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,263.85 / $1,837.93 / $2,746.53	Facility		$1,263.85	$1,837.93	$2,746.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,621.39 / $1,893.54 / $1,925.39	Professional		$1,621.39	$1,893.54	$1,925.39
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 $1,026.03 / $1,326.72 / $2,045.37	Professional		$1,026.03	$1,326.72	$2,045.37