Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $690.95 / $4,500.00 / $7,761.00	Facility		$690.95	$4,500.00	$7,761.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $409.75 / $600.83 / $1,222.58	Professional		$409.75	$600.83	$1,222.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $385.00 / $648.91 / $791.13	Professional		$385.00	$648.91	$791.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $415.03 / $762.71 / $1,295.93	Facility		$415.03	$762.71	$1,295.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $677.82 / $718.90 / $821.60	Professional		$677.82	$718.90	$821.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $587.03 / $738.52	Professional		$32.34	$587.03	$738.52
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 $712.69 / $831.58 / $845.57	Professional		$712.69	$831.58	$845.57
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 $439.92 / $592.79 / $913.91	Professional		$439.92	$592.79	$913.91