Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,628.00 / $4,500.00 / $7,205.00	Facility		$1,628.00	$4,500.00	$7,205.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $814.05 / $826.17 / $1,435.43	Professional		$814.05	$826.17	$1,435.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $887.05 / $1,085.85 / $1,212.30	Professional		$887.05	$1,085.85	$1,212.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $724.34 / $1,259.17 / $1,538.46	Facility		$724.34	$1,259.17	$1,538.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,019.40 / $1,081.19 / $1,235.64	Professional		$1,019.40	$1,081.19	$1,235.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $890.04 / $1,119.73	Professional		$32.34	$890.04	$1,119.73
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 $969.29 / $969.29 / $1,186.90	Professional		$969.29	$969.29	$1,186.90
United Facility/Professional Facility Modifier Low / Median / High Price $5,550.00 / $10,167.24 / $12,233.00	Facility		$5,550.00	$10,167.24	$12,233.00
United Facility/Professional Professional Modifier Low / Median / High Price $657.91 / $907.00 / $1,349.01	Professional		$657.91	$907.00	$1,349.01