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 $732.51 / $747.23 / $1,305.59	Professional		$732.51	$747.23	$1,305.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $810.24 / $991.85 / $1,107.33	Professional		$810.24	$991.85	$1,107.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $649.39 / $1,156.92 / $1,383.94	Facility		$649.39	$1,156.92	$1,383.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $916.92 / $972.49 / $1,111.42	Professional		$916.92	$972.49	$1,111.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $906.64 / $1,010.26	Professional		$32.34	$906.64	$1,010.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,480.23 / $22,875.82 / $28,539.36	Facility		$10,480.23	$22,875.82	$28,539.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $873.64 / $873.64 / $1,076.38	Professional		$873.64	$873.64	$1,076.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,620.00 / $4,150.00 / $4,441.00	Facility		$2,620.00	$4,150.00	$4,441.00
United Facility/Professional Professional Modifier Low / Median / High Price $603.78 / $846.23 / $1,238.02	Professional		$603.78	$846.23	$1,238.02