Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,415.00 / $4,500.00 / $8,439.00	Facility		$4,415.00	$4,500.00	$8,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $685.38 / $693.06 / $1,025.46	Professional		$685.38	$693.06	$1,025.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $818.89 / $998.70 / $1,119.15	Professional		$818.89	$998.70	$1,119.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $683.05 / $1,025.46 / $1,158.43	Facility		$683.05	$1,025.46	$1,158.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $945.75 / $1,003.07 / $1,146.35	Professional		$945.75	$1,003.07	$1,146.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $814.68 / $1,024.92	Professional		$32.34	$814.68	$1,024.92
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 $908.94 / $908.94 / $1,106.02	Professional		$908.94	$908.94	$1,106.02
United Facility/Professional Facility Modifier Low / Median / High Price $10,120.00 / $22,317.00 / $27,159.00	Facility		$10,120.00	$22,317.00	$27,159.00
United Facility/Professional Professional Modifier Low / Median / High Price $606.66 / $804.00 / $1,193.52	Professional		$606.66	$804.00	$1,193.52