Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,422.00 / $8,622.00 / $12,423.98	Facility		$3,422.00	$8,622.00	$12,423.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $759.47 / $870.58 / $1,289.11	Professional		$759.47	$870.58	$1,289.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,066.57 / $1,305.63 / $1,457.65	Professional		$1,066.57	$1,305.63	$1,457.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $849.24 / $1,114.33 / $1,389.46	Facility		$849.24	$1,114.33	$1,389.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,278.26 / $1,333.74 / $1,549.40	Professional		$1,278.26	$1,333.74	$1,549.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,063.41 / $1,337.84	Professional		$32.34	$1,063.41	$1,337.84
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 $921.17 / $921.17 / $1,333.73	Professional		$921.17	$921.17	$1,333.73
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 $761.18 / $1,059.38 / $1,618.09	Professional		$761.18	$1,059.38	$1,618.09