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 $412.10 / $584.92 / $1,216.79	Professional		$412.10	$584.92	$1,216.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $399.09 / $646.02 / $788.77	Professional		$399.09	$646.02	$788.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $417.56 / $748.71 / $1,289.80	Facility		$417.56	$748.71	$1,289.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $690.62 / $732.48 / $837.12	Professional		$690.62	$732.48	$837.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $582.46 / $732.77	Professional		$32.34	$582.46	$732.77
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,657.94 / $2,653.49 / $4,560.42	Facility		$1,657.94	$2,653.49	$4,560.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $727.98 / $848.23 / $862.50	Professional		$727.98	$848.23	$862.50
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 $425.50 / $540.95 / $862.65	Professional		$425.50	$540.95	$862.65