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 $405.05 / $1,486.48 / $3,852.48	Professional		$405.05	$1,486.48	$3,852.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $528.74 / $722.62 / $3,125.12	Professional		$528.74	$722.62	$3,125.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $492.78 / $1,227.67 / $4,045.10	Facility		$492.78	$1,227.67	$4,045.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $616.98 / $759.49 / $3,102.02	Professional		$616.98	$759.49	$3,102.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $2,194.34 / $2,760.62	Professional		$32.34	$2,194.34	$2,760.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,086.67 / $8,522.07 / $10,689.08	Facility		$4,086.67	$8,522.07	$10,689.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $587.20 / $713.26 / $3,104.56	Professional		$587.20	$713.26	$3,104.56
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 $1,847.07 / $2,602.46 / $3,787.33	Professional		$1,847.07	$2,602.46	$3,787.33