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 $384.10 / $641.24 / $1,021.76	Professional		$384.10	$641.24	$1,021.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $373.03 / $566.50 / $751.92	Professional		$373.03	$566.50	$751.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $401.12 / $800.61 / $1,072.84	Facility		$401.12	$800.61	$1,072.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $527.84 / $756.81 / $821.02	Professional		$527.84	$756.81	$821.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $831.23	Professional		$32.34	$32.34	$831.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,042.08 / $1,394.94 / $1,770.12	Facility		$1,042.08	$1,394.94	$1,770.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $686.24 / $841.79 / $949.76	Professional		$686.24	$841.79	$949.76
United Facility/Professional Facility Modifier Low / Median / High Price $350.00 / $2,620.00 / $4,441.00	Facility		$350.00	$2,620.00	$4,441.00
United Facility/Professional Professional Modifier Low / Median / High Price $493.20 / $621.46 / $927.85	Professional		$493.20	$621.46	$927.85