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 $871.20 / $1,428.21 / $2,013.46	Professional		$871.20	$1,428.21	$2,013.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $730.99 / $1,136.63 / $1,435.54	Professional		$730.99	$1,136.63	$1,435.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $829.05 / $1,436.62 / $2,114.13	Facility		$829.05	$1,436.62	$2,114.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,144.15 / $1,463.45 / $1,773.88	Professional		$1,144.15	$1,463.45	$1,773.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,604.73	Professional		$32.34	$32.34	$1,604.73
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 $1,510.77 / $1,850.20 / $1,877.38	Professional		$1,510.77	$1,850.20	$1,877.38
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 $839.16 / $1,126.54 / $1,591.84	Professional		$839.16	$1,126.54	$1,591.84