Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,897.00 / $4,500.00 / $7,761.00	Facility		$2,897.00	$4,500.00	$7,761.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $708.68 / $840.47 / $1,247.50	Professional		$708.68	$840.47	$1,247.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $999.62 / $1,223.66 / $1,366.14	Professional		$999.62	$1,223.66	$1,366.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $828.35 / $1,247.50 / $1,416.76	Facility		$828.35	$1,247.50	$1,416.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,147.49 / $1,217.04 / $1,390.90	Professional		$1,147.49	$1,217.04	$1,390.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $989.07 / $1,244.31	Professional		$32.34	$989.07	$1,244.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,306.08 / $18,816.75 / $23,096.74	Facility		$10,306.08	$18,816.75	$23,096.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,102.79 / $1,102.79 / $1,344.40	Professional		$1,102.79	$1,102.79	$1,344.40
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 $743.81 / $960.49 / $1,525.15	Professional		$743.81	$960.49	$1,525.15