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 $686.66 / $983.44 / $2,070.66	Professional		$686.66	$983.44	$2,070.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $656.14 / $1,078.93 / $1,320.45	Professional		$656.14	$1,078.93	$1,320.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $647.01 / $1,258.80 / $2,194.90	Facility		$647.01	$1,258.80	$2,194.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,124.54 / $1,192.70 / $1,363.08	Professional		$1,124.54	$1,192.70	$1,363.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $973.42 / $1,224.61	Professional		$32.34	$973.42	$1,224.61
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 $1,188.00 / $1,387.53 / $1,410.87	Professional		$1,188.00	$1,387.53	$1,410.87
United Facility/Professional Facility Modifier Low / Median / High Price $5,550.00 / $12,152.00 / $12,233.00	Facility		$5,550.00	$12,152.00	$12,233.00
United Facility/Professional Professional Modifier Low / Median / High Price $729.73 / $962.40 / $1,496.28	Professional		$729.73	$962.40	$1,496.28