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 $332.15 / $721.88 / $1,796.56	Professional		$332.15	$721.88	$1,796.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $653.90 / $1,026.05 / $1,395.58	Professional		$653.90	$1,026.05	$1,395.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $778.87 / $1,352.35 / $1,886.39	Facility		$778.87	$1,352.35	$1,886.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $793.78 / $1,309.74 / $1,420.87	Professional		$793.78	$1,309.74	$1,420.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,437.74	Professional		$32.34	$32.34	$1,437.74
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 $1,350.52 / $1,654.25 / $1,675.34	Professional		$1,350.52	$1,654.25	$1,675.34
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 $790.20 / $1,010.97 / $1,487.37	Professional		$790.20	$1,010.97	$1,487.37