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 $809.12 / $977.93 / $1,461.23	Professional		$809.12	$977.93	$1,461.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,221.53 / $1,495.31 / $1,669.42	Professional		$1,221.53	$1,495.31	$1,669.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $968.98 / $1,251.75 / $1,594.04	Facility		$968.98	$1,251.75	$1,594.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,451.18 / $1,509.70 / $1,759.00	Professional		$1,451.18	$1,509.70	$1,759.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,202.44 / $1,512.75	Professional		$32.34	$1,202.44	$1,512.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,781.66 / $7,272.33 / $9,472.49	Facility		$4,781.66	$7,272.33	$9,472.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,043.50 / $1,043.50 / $1,509.70	Professional		$1,043.50	$1,043.50	$1,509.70
United Facility/Professional Facility Modifier Low / Median / High Price $5,550.00 / $12,152.00 / $12,233.00	Facility		$5,550.00	$12,152.00	$12,233.00
United Facility/Professional Professional Modifier Low / Median / High Price $911.64 / $1,240.66 / $1,738.40	Professional		$911.64	$1,240.66	$1,738.40