Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,897.00 / $4,500.00 / $7,761.00	Facility		$2,897.00	$4,500.00	$7,761.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $412.89 / $765.41 / $1,670.04	Professional		$412.89	$765.41	$1,670.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $623.42 / $857.73 / $1,034.32	Professional		$623.42	$857.73	$1,034.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $651.20 / $1,331.30 / $2,137.65	Facility		$651.20	$1,331.30	$2,137.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $2,000.00 / $3,900.00	Professional		$30.00	$2,000.00	$3,900.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,817.25 / $17,382.52 / $31,188.68	Facility		$9,817.25	$17,382.52	$31,188.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $982.35 / $1,155.71 / $1,166.47	Professional		$982.35	$1,155.71	$1,166.47
United Facility/Professional Facility Modifier Low / Median / High Price $10,120.00 / $22,317.00 / $27,159.00	Facility		$10,120.00	$22,317.00	$27,159.00
United Facility/Professional Professional Modifier Low / Median / High Price $507.51 / $850.19 / $1,494.81	Professional		$507.51	$850.19	$1,494.81