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 $880.34 / $1,359.09 / $1,872.54	Professional		$880.34	$1,359.09	$1,872.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $688.75 / $1,092.72 / $1,486.26	Professional		$688.75	$1,092.72	$1,486.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $798.10 / $1,466.40 / $1,984.89	Facility		$798.10	$1,466.40	$1,984.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,084.90 / $1,416.61 / $1,682.02	Professional		$1,084.90	$1,416.61	$1,682.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,370.41	Professional		$32.34	$32.34	$1,370.41
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 $1,416.61 / $1,740.90 / $1,751.27	Professional		$1,416.61	$1,740.90	$1,751.27
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 $886.32 / $1,065.97 / $1,636.79	Professional		$886.32	$1,065.97	$1,636.79