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 $895.77 / $961.58 / $1,353.50	Professional		$895.77	$961.58	$1,353.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $948.72 / $1,161.35 / $1,296.58	Professional		$948.72	$1,161.35	$1,296.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $777.86 / $1,146.58 / $1,732.48	Facility		$777.86	$1,146.58	$1,732.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,094.66 / $1,161.00 / $1,326.86	Professional		$1,094.66	$1,161.00	$1,326.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $955.61 / $1,202.21	Professional		$32.34	$955.61	$1,202.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,965.97 / $8,522.07 / $10,689.08	Facility		$3,965.97	$8,522.07	$10,689.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,041.41 / $1,041.41 / $1,271.80	Professional		$1,041.41	$1,041.41	$1,271.80
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 $704.88 / $959.42 / $1,382.36	Professional		$704.88	$959.42	$1,382.36