Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,415.00 / $4,500.00 / $8,439.00	Facility		$4,415.00	$4,500.00	$8,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $984.57 / $1,533.11 / $2,130.63	Professional		$984.57	$1,533.11	$2,130.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $779.03 / $1,237.30 / $1,682.91	Professional		$779.03	$1,237.30	$1,682.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $883.32 / $1,502.03 / $2,258.46	Facility		$883.32	$1,502.03	$2,258.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,222.18 / $1,606.52 / $1,894.86	Professional		$1,222.18	$1,606.52	$1,894.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,722.47	Professional		$32.34	$32.34	$1,722.47
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,116.89 / $5,756.01 / $7,201.73	Facility		$4,116.89	$5,756.01	$7,201.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,606.52 / $1,963.51 / $1,983.15	Professional		$1,606.52	$1,963.51	$1,983.15
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 $977.76 / $1,330.83 / $1,942.51	Professional		$977.76	$1,330.83	$1,942.51