Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,415.00 / $4,500.00 / $8,439.00	Facility		$4,415.00	$4,500.00	$8,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $695.29 / $761.41 / $1,323.53	Professional		$695.29	$761.41	$1,323.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $817.90 / $1,001.22 / $1,117.80	Professional		$817.90	$1,001.22	$1,117.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $666.58 / $1,152.63 / $1,402.94	Facility		$666.58	$1,152.63	$1,402.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $938.27 / $995.14 / $1,137.30	Professional		$938.27	$995.14	$1,137.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $819.35 / $1,030.79	Professional		$32.34	$819.35	$1,030.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,966.37 / $12,222.47 / $15,458.09	Facility		$8,966.37	$12,222.47	$15,458.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $892.57 / $892.57 / $1,093.30	Professional		$892.57	$892.57	$1,093.30
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 $606.30 / $841.99 / $1,243.21	Professional		$606.30	$841.99	$1,243.21