Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,422.00 / $4,500.00 / $8,622.00	Facility		$3,422.00	$4,500.00	$8,622.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $927.39 / $997.47 / $1,405.85	Professional		$927.39	$997.47	$1,405.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $987.84 / $1,209.25 / $1,350.05	Professional		$987.84	$1,209.25	$1,350.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $801.35 / $1,220.66 / $1,541.10	Facility		$801.35	$1,220.66	$1,541.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,128.81 / $1,197.23 / $1,368.26	Professional		$1,128.81	$1,197.23	$1,368.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $986.37 / $1,240.92	Professional		$32.34	$986.37	$1,240.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,789.17 / $8,522.07 / $10,689.08	Facility		$5,789.17	$8,522.07	$10,689.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,075.17 / $1,075.17 / $1,317.53	Professional		$1,075.17	$1,075.17	$1,317.53
United Facility/Professional Facility Modifier Low / Median / High Price $9,360.00 / $16,762.00 / $17,870.00	Facility		$9,360.00	$16,762.00	$17,870.00
United Facility/Professional Professional Modifier Low / Median / High Price $733.70 / $1,012.50 / $1,499.76	Professional		$733.70	$1,012.50	$1,499.76