Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,628.00 / $4,500.00 / $7,205.00	Facility		$1,628.00	$4,500.00	$7,205.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $455.06 / $705.64 / $968.13	Professional		$455.06	$705.64	$968.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $353.83 / $537.23 / $711.45	Professional		$353.83	$537.23	$711.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $388.64 / $754.00 / $1,016.54	Facility		$388.64	$754.00	$1,016.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $485.70 / $717.85 / $778.76	Professional		$485.70	$717.85	$778.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $788.87	Professional		$32.34	$32.34	$788.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,651.10 / $5,756.01 / $7,201.73	Facility		$2,651.10	$5,756.01	$7,201.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $632.96 / $776.47 / $901.11	Professional		$632.96	$776.47	$901.11
United Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $3,450.00 / $7,609.00	Facility		$500.00	$3,450.00	$7,609.00
United Facility/Professional Professional Modifier Low / Median / High Price $422.73 / $589.26 / $871.08	Professional		$422.73	$589.26	$871.08