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 $236.72 / $364.59 / $1,012.60	Professional		$236.72	$364.59	$1,012.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $260.01 / $404.67 / $579.16	Professional		$260.01	$404.67	$579.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $226.61 / $497.61 / $1,012.60	Facility		$226.61	$497.61	$1,012.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $393.89 / $477.44 / $678.62	Professional		$393.89	$477.44	$678.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $482.47 / $606.98	Professional		$32.34	$482.47	$606.98
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,768.86 / $5,692.91 / $8,507.26	Facility		$3,768.86	$5,692.91	$8,507.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $452.92 / $489.47 / $701.82	Professional		$452.92	$489.47	$701.82
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 $299.50 / $418.50 / $637.17	Professional		$299.50	$418.50	$637.17