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 $867.31 / $973.10 / $1,445.02	Professional		$867.31	$973.10	$1,445.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,159.39 / $1,419.25 / $1,584.50	Professional		$1,159.39	$1,419.25	$1,584.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $959.54 / $1,445.02 / $1,682.56	Facility		$959.54	$1,445.02	$1,682.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,329.49 / $1,410.06 / $1,611.50	Professional		$1,329.49	$1,410.06	$1,611.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,146.19 / $1,441.99	Professional		$32.34	$1,146.19	$1,441.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,966.37 / $12,222.47 / $15,458.09	Facility		$8,966.37	$12,222.47	$15,458.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,277.22 / $1,277.22 / $1,557.15	Professional		$1,277.22	$1,277.22	$1,557.15
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 $863.62 / $1,102.05 / $1,667.70	Professional		$863.62	$1,102.05	$1,667.70