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 $654.54 / $915.18 / $1,927.09	Professional		$654.54	$915.18	$1,927.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.13 / $1,018.10 / $1,252.45	Professional		$660.13	$1,018.10	$1,252.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $672.16 / $1,171.43 / $2,042.72	Facility		$672.16	$1,171.43	$2,042.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,086.10 / $1,151.94 / $1,316.50	Professional		$1,086.10	$1,151.94	$1,316.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $915.06 / $1,151.20	Professional		$32.34	$915.06	$1,151.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,920.51 / $7,779.36 / $11,812.34	Facility		$5,920.51	$7,779.36	$11,812.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,146.08 / $1,338.92 / $1,361.45	Professional		$1,146.08	$1,338.92	$1,361.45
United Facility/Professional Facility Modifier Low / Median / High Price $9,360.00 / $16,762.00 / $17,870.00	Facility		$9,360.00	$16,762.00	$17,870.00
United Facility/Professional Professional Modifier Low / Median / High Price $669.24 / $851.04 / $1,364.27	Professional		$669.24	$851.04	$1,364.27