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 $906.66 / $975.09 / $1,374.89	Professional		$906.66	$975.09	$1,374.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $965.59 / $1,182.01 / $1,319.63	Professional		$965.59	$1,182.01	$1,319.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $784.46 / $1,195.09 / $1,457.38	Facility		$784.46	$1,195.09	$1,457.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,104.79 / $1,171.75 / $1,339.14	Professional		$1,104.79	$1,171.75	$1,339.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $965.23 / $1,214.32	Professional		$32.34	$965.23	$1,214.32
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,671.73 / $4,962.96 / $6,186.02	Facility		$3,671.73	$4,962.96	$6,186.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,052.16 / $1,052.16 / $1,289.96	Professional		$1,052.16	$1,052.16	$1,289.96
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 $716.02 / $981.18 / $1,468.16	Professional		$716.02	$981.18	$1,468.16