Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $5,519.00	Facility		$4,500.00	$4,500.00	$5,519.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $751.23 / $761.77 / $1,322.23	Professional		$751.23	$761.77	$1,322.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $816.64 / $999.68 / $1,116.07	Professional		$816.64	$999.68	$1,116.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $667.92 / $1,152.74 / $1,401.56	Facility		$667.92	$1,152.74	$1,401.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $939.87 / $996.84 / $1,139.24	Professional		$939.87	$996.84	$1,139.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $820.46 / $1,032.19	Professional		$32.34	$820.46	$1,032.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,671.73 / $5,063.82 / $7,314.22	Facility		$3,671.73	$5,063.82	$7,314.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $894.61 / $894.61 / $1,093.98	Professional		$894.61	$894.61	$1,093.98
United Facility/Professional Facility Modifier Low / Median / High Price $10,120.00 / $22,317.00 / $27,159.00	Facility		$10,120.00	$22,317.00	$27,159.00
United Facility/Professional Professional Modifier Low / Median / High Price $485.05 / $775.35 / $1,243.21	Professional		$485.05	$775.35	$1,243.21