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 $602.72 / $842.19 / $1,770.55	Professional		$602.72	$842.19	$1,770.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $597.99 / $935.93 / $1,150.34	Professional		$597.99	$935.93	$1,150.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $614.23 / $1,078.00 / $1,876.78	Facility		$614.23	$1,078.00	$1,876.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,001.25 / $1,061.94 / $1,213.64	Professional		$1,001.25	$1,061.94	$1,213.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $843.93 / $1,061.72	Professional		$32.34	$843.93	$1,061.72
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 $1,055.44 / $1,230.40 / $1,251.09	Professional		$1,055.44	$1,230.40	$1,251.09
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 $629.64 / $857.01 / $1,323.12	Professional		$629.64	$857.01	$1,323.12