Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,422.00 / $4,500.00 / $8,622.00	Facility		$3,422.00	$4,500.00	$8,622.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $205.86 / $480.67 / $1,167.11	Professional		$205.86	$480.67	$1,167.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $260.16 / $512.29 / $857.09	Professional		$260.16	$512.29	$857.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $309.39 / $547.96 / $1,283.83	Facility		$309.39	$547.96	$1,283.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $314.89 / $461.61 / $903.12	Professional		$314.89	$461.61	$903.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $809.89	Professional		$32.34	$32.34	$809.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,480.58 / $4,867.04 / $5,994.73	Facility		$3,480.58	$4,867.04	$5,994.73
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $5,105.28 / $7,300.56 / $9,122.73	Facility	50	$5,105.28	$7,300.56	$9,122.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $389.24 / $461.61 / $1,105.92	Professional		$389.24	$461.61	$1,105.92
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 $510.31 / $740.14 / $1,046.36	Professional		$510.31	$740.14	$1,046.36