Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,628.00 / $4,500.00 / $7,205.00	Facility		$1,628.00	$4,500.00	$7,205.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $806.27 / $1,328.62 / $1,874.26	Professional		$806.27	$1,328.62	$1,874.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $680.34 / $1,055.92 / $1,334.97	Professional		$680.34	$1,055.92	$1,334.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $770.59 / $1,312.06 / $1,967.97	Facility		$770.59	$1,312.06	$1,967.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,063.61 / $1,360.44 / $1,649.02	Professional		$1,063.61	$1,360.44	$1,649.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,491.18	Professional		$32.34	$32.34	$1,491.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,412.57 / $9,164.31 / $11,714.67	Facility		$6,412.57	$9,164.31	$11,714.67
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,406.05 / $1,722.90 / $1,748.56	Professional		$1,406.05	$1,722.90	$1,748.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $9,360.00 / $17,870.00	Facility		$1,400.00	$9,360.00	$17,870.00
United Facility/Professional Professional Modifier Low / Median / High Price $791.28 / $989.11 / $1,494.65	Professional		$791.28	$989.11	$1,494.65