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 $642.50 / $1,065.89 / $1,525.95	Professional		$642.50	$1,065.89	$1,525.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $552.79 / $851.83 / $1,082.67	Professional		$552.79	$851.83	$1,082.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $618.41 / $1,052.80 / $1,602.25	Facility		$618.41	$1,052.80	$1,602.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $861.67 / $1,102.13 / $1,335.92	Professional		$861.67	$1,102.13	$1,335.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,205.90	Professional		$32.34	$32.34	$1,205.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,398.53 / $9,164.31 / $11,714.67	Facility		$4,398.53	$9,164.31	$11,714.67
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,142.80 / $1,398.98 / $1,424.48	Professional		$1,142.80	$1,398.98	$1,424.48
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 $587.15 / $799.18 / $1,173.25	Professional		$587.15	$799.18	$1,173.25