Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,407.00 / $4,500.00 / $7,045.00	Facility		$1,407.00	$4,500.00	$7,045.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $577.42 / $699.91 / $1,775.80	Professional		$577.42	$699.91	$1,775.80
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $118.45 / $190.41 / $266.37	Professional	55	$118.45	$190.41	$266.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.82 / $1,013.90 / $1,379.05	Professional		$645.82	$1,013.90	$1,379.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $771.40 / $1,259.59 / $1,864.59	Facility		$771.40	$1,259.59	$1,864.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,013.97 / $1,296.93 / $1,572.04	Professional		$1,013.97	$1,296.93	$1,572.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,423.97	Professional		$32.34	$32.34	$1,423.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,625.43 / $10,854.89 / $13,325.26	Facility		$4,625.43	$10,854.89	$13,325.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,334.49 / $1,635.59 / $1,655.00	Professional		$1,334.49	$1,635.59	$1,655.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,150.00 / $5,550.00 / $12,233.00	Facility		$1,150.00	$5,550.00	$12,233.00
United Facility/Professional Professional Modifier Low / Median / High Price $759.59 / $1,127.58 / $1,443.65	Professional		$759.59	$1,127.58	$1,443.65