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 $767.70 / $778.63 / $1,351.91	Professional		$767.70	$778.63	$1,351.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $835.03 / $1,022.19 / $1,141.21	Professional		$835.03	$1,022.19	$1,141.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $682.23 / $1,162.40 / $1,433.02	Facility		$682.23	$1,162.40	$1,433.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $960.15 / $1,018.34 / $1,163.82	Professional		$960.15	$1,018.34	$1,163.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $838.29 / $1,054.61	Professional		$32.34	$838.29	$1,054.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,399.76 / $8,522.07 / $10,689.08	Facility		$5,399.76	$8,522.07	$10,689.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $913.54 / $913.54 / $1,117.96	Professional		$913.54	$913.54	$1,117.96
United Facility/Professional Facility Modifier Low / Median / High Price $5,550.00 / $6,897.94 / $12,233.00	Facility		$5,550.00	$6,897.94	$12,233.00
United Facility/Professional Professional Modifier Low / Median / High Price $570.77 / $805.46 / $1,270.58	Professional		$570.77	$805.46	$1,270.58