Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,897.00 / $4,500.00 / $7,761.00	Facility		$2,897.00	$4,500.00	$7,761.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $607.12 / $859.49 / $1,789.14	Professional		$607.12	$859.49	$1,789.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $554.79 / $950.84 / $1,163.45	Professional		$554.79	$950.84	$1,163.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $603.28 / $1,100.15 / $1,896.49	Facility		$603.28	$1,100.15	$1,896.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,007.66 / $1,068.73 / $1,221.40	Professional		$1,007.66	$1,068.73	$1,221.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $850.08 / $1,069.46	Professional		$32.34	$850.08	$1,069.46
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 $1,059.97 / $1,241.05 / $1,261.93	Professional		$1,059.97	$1,241.05	$1,261.93
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 $614.16 / $805.37 / $1,308.33	Professional		$614.16	$805.37	$1,308.33