Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,422.00 / $4,500.00 / $8,622.00	Facility		$3,422.00	$4,500.00	$8,622.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $881.06 / $1,334.51 / $1,873.34	Professional		$881.06	$1,334.51	$1,873.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $686.95 / $1,093.19 / $1,486.90	Professional		$686.95	$1,093.19	$1,486.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $801.25 / $1,466.40 / $1,985.74	Facility		$801.25	$1,466.40	$1,985.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,085.74 / $1,434.42 / $1,683.32	Professional		$1,085.74	$1,434.42	$1,683.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,528.22	Professional		$32.34	$32.34	$1,528.22
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 $1,417.74 / $1,741.56 / $1,752.63	Professional		$1,417.74	$1,741.56	$1,752.63
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 $887.04 / $1,141.72 / $1,638.11	Professional		$887.04	$1,141.72	$1,638.11