Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,407.00 / $4,500.00 / $7,045.00	Facility		$1,407.00	$4,500.00	$7,045.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $746.26 / $908.29 / $1,662.05	Professional		$746.26	$908.29	$1,662.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $955.80 / $1,170.02 / $1,306.26	Professional		$955.80	$1,170.02	$1,306.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $834.95 / $1,068.74 / $2,127.42	Facility		$834.95	$1,068.74	$2,127.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,173.11 / $1,244.22 / $1,421.96	Professional		$1,173.11	$1,244.22	$1,421.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,017.20 / $1,279.71	Professional		$32.34	$1,017.20	$1,279.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,008.47 / $15,806.20 / $20,605.80	Facility		$12,008.47	$15,806.20	$20,605.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,458.97 / $1,458.97 / $1,719.10	Professional		$1,458.97	$1,458.97	$1,719.10
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 $709.52 / $963.34 / $1,454.84	Professional		$709.52	$963.34	$1,454.84