Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,415.00 / $4,500.00 / $8,439.00	Facility		$4,415.00	$4,500.00	$8,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $753.28 / $1,300.00 / $1,607.35	Professional		$753.28	$1,300.00	$1,607.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $628.84 / $938.14 / $1,276.01	Professional		$628.84	$938.14	$1,276.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $735.14 / $1,386.54 / $1,803.66	Facility		$735.14	$1,386.54	$1,803.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $955.68 / $1,232.40 / $1,232.40	Professional		$955.68	$1,232.40	$1,232.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $661.63 / $3,500.00	Professional		$30.00	$661.63	$3,500.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,033.57 / $5,240.03 / $7,201.73	Facility		$4,033.57	$5,240.03	$7,201.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,534.28 / $1,534.28 / $1,544.48	Professional		$1,534.28	$1,534.28	$1,544.48
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 $694.98 / $983.70 / $1,432.08	Professional		$694.98	$983.70	$1,432.08