Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $8,622.00 / $11,172.04	Facility		$4,500.00	$8,622.00	$11,172.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $362.58 / $561.45 / $1,174.44	Professional		$362.58	$561.45	$1,174.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $409.58 / $623.48 / $765.70	Professional		$409.58	$623.48	$765.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $413.40 / $718.66 / $1,244.91	Facility		$413.40	$718.66	$1,244.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $666.07 / $706.44 / $807.36	Professional		$666.07	$706.44	$807.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $561.33 / $706.19	Professional		$32.34	$561.33	$706.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,236.68 / $7,779.36 / $11,812.34	Facility		$6,236.68	$7,779.36	$11,812.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $701.36 / $818.93 / $832.71	Professional		$701.36	$818.93	$832.71
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 $419.14 / $570.72 / $872.81	Professional		$419.14	$570.72	$872.81