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 $642.87 / $897.55 / $1,886.25	Professional		$642.87	$897.55	$1,886.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $671.83 / $1,017.68 / $1,227.20	Professional		$671.83	$1,017.68	$1,227.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $697.81 / $1,148.85 / $1,999.43	Facility		$697.81	$1,148.85	$1,999.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,067.43 / $1,132.13 / $1,293.85	Professional		$1,067.43	$1,132.13	$1,293.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $899.17 / $1,131.21	Professional		$32.34	$899.17	$1,131.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,401.44 / $14,025.11 / $17,482.34	Facility		$10,401.44	$14,025.11	$17,482.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,125.11 / $1,310.96 / $1,333.01	Professional		$1,125.11	$1,310.96	$1,333.01
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 $687.24 / $907.20 / $1,411.92	Professional		$687.24	$907.20	$1,411.92