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 $594.00 / $844.44 / $1,758.11	Professional		$594.00	$844.44	$1,758.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $574.14 / $932.90 / $1,139.35	Professional		$574.14	$932.90	$1,139.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $598.15 / $1,080.88 / $1,863.60	Facility		$598.15	$1,080.88	$1,863.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $989.51 / $1,049.48 / $1,199.40	Professional		$989.51	$1,049.48	$1,199.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $942.74	Professional		$32.34	$32.34	$942.74
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 $1,045.24 / $1,220.41 / $1,240.94	Professional		$1,045.24	$1,220.41	$1,240.94
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 $624.60 / $810.24 / $1,296.48	Professional		$624.60	$810.24	$1,296.48