Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,657.00 / $5,519.00	Facility		$4,500.00	$4,657.00	$5,519.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $714.15 / $928.96 / $1,311.89	Professional		$714.15	$928.96	$1,311.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $921.31 / $1,127.81 / $1,259.11	Professional		$921.31	$1,127.81	$1,259.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $747.40 / $1,138.92 / $1,444.10	Facility		$747.40	$1,138.92	$1,444.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,053.03 / $1,116.84 / $1,276.40	Professional		$1,053.03	$1,116.84	$1,276.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $920.34 / $1,157.84	Professional		$32.34	$920.34	$1,157.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,788.65 / $14,025.11 / $17,482.34	Facility		$9,788.65	$14,025.11	$17,482.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,002.54 / $1,002.54 / $1,229.09	Professional		$1,002.54	$1,002.54	$1,229.09
United Facility/Professional Facility Modifier Low / Median / High Price $11,800.00 / $26,422.00 / $29,092.00	Facility		$11,800.00	$26,422.00	$29,092.00
United Facility/Professional Professional Modifier Low / Median / High Price $683.54 / $1,059.85 / $1,443.71	Professional		$683.54	$1,059.85	$1,443.71