Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,897.00 / $4,500.00 / $7,761.00	Facility		$2,897.00	$4,500.00	$7,761.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $815.82 / $828.01 / $1,438.70	Professional		$815.82	$828.01	$1,438.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $889.07 / $1,088.34 / $1,215.07	Professional		$889.07	$1,088.34	$1,215.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $725.76 / $1,267.77 / $1,538.46	Facility		$725.76	$1,267.77	$1,538.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,021.53 / $1,083.44 / $1,238.22	Professional		$1,021.53	$1,083.44	$1,238.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,007.09	Professional		$32.34	$32.34	$1,007.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,886.52 / $12,228.99 / $15,681.77	Facility		$5,886.52	$12,228.99	$15,681.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $971.85 / $971.85 / $1,189.58	Professional		$971.85	$971.85	$1,189.58
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 $659.36 / $908.49 / $1,351.99	Professional		$659.36	$908.49	$1,351.99