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 $837.17 / $849.27 / $1,472.83	Professional		$837.17	$849.27	$1,472.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $911.15 / $1,115.36 / $1,245.24	Professional		$911.15	$1,115.36	$1,245.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $711.70 / $1,225.85 / $1,561.20	Facility		$711.70	$1,225.85	$1,561.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,043.41 / $1,106.65 / $1,264.74	Professional		$1,043.41	$1,106.65	$1,264.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $911.09 / $1,146.21	Professional		$32.34	$911.09	$1,146.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,671.73 / $4,962.96 / $6,186.02	Facility		$3,671.73	$4,962.96	$6,186.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $992.82 / $992.82 / $1,216.10	Professional		$992.82	$992.82	$1,216.10
United Facility/Professional Facility Modifier Low / Median / High Price $5,550.00 / $12,152.00 / $12,233.00	Facility		$5,550.00	$12,152.00	$12,233.00
United Facility/Professional Professional Modifier Low / Median / High Price $675.96 / $929.48 / $1,386.02	Professional		$675.96	$929.48	$1,386.02