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 $909.77 / $1,463.72 / $2,093.28	Professional		$909.77	$1,463.72	$2,093.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $761.15 / $1,183.48 / $1,501.95	Professional		$761.15	$1,183.48	$1,501.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $890.47 / $1,466.40 / $2,197.94	Facility		$890.47	$1,466.40	$2,197.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,191.30 / $1,523.76 / $1,846.98	Professional		$1,191.30	$1,523.76	$1,846.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,499.79	Professional		$32.34	$32.34	$1,499.79
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 $1,572.15 / $1,923.52 / $1,952.64	Professional		$1,572.15	$1,923.52	$1,952.64
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 $903.95 / $1,254.39 / $1,689.59	Professional		$903.95	$1,254.39	$1,689.59