Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,628.00 / $4,500.00 / $7,205.00	Facility		$1,628.00	$4,500.00	$7,205.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $365.45 / $517.39 / $1,073.59	Professional		$365.45	$517.39	$1,073.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.00 / $571.05 / $697.02	Professional		$354.00	$571.05	$697.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $369.75 / $662.26 / $1,138.02	Facility		$369.75	$662.26	$1,138.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $611.11 / $648.15 / $740.74	Professional		$611.11	$648.15	$740.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $515.73 / $648.82	Professional		$32.34	$515.73	$648.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,933.86 / $5,692.91 / $8,507.26	Facility		$3,933.86	$5,692.91	$8,507.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $643.57 / $748.36 / $760.95	Professional		$643.57	$748.36	$760.95
United Facility/Professional Facility Modifier Low / Median / High Price $5,484.78 / $5,550.00 / $12,233.00	Facility		$5,484.78	$5,550.00	$12,233.00
United Facility/Professional Professional Modifier Low / Median / High Price $385.92 / $506.18 / $796.97	Professional		$385.92	$506.18	$796.97