Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,422.00 / $4,500.00 / $8,622.00	Facility		$3,422.00	$4,500.00	$8,622.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $494.39 / $783.10 / $1,692.46	Professional		$494.39	$783.10	$1,692.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $511.92 / $882.01 / $1,063.59	Professional		$511.92	$882.01	$1,063.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $572.72 / $1,002.37 / $1,794.01	Facility		$572.72	$1,002.37	$1,794.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $956.42 / $1,014.39 / $1,159.30	Professional		$956.42	$1,014.39	$1,159.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $807.01 / $1,015.27	Professional		$32.34	$807.01	$1,015.27
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 $1,004.45 / $1,155.10 / $1,181.70	Professional		$1,004.45	$1,155.10	$1,181.70
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 $572.48 / $771.84 / $1,189.92	Professional		$572.48	$771.84	$1,189.92