Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,657.00 / $5,519.00	Facility		$4,500.00	$4,657.00	$5,519.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $782.64 / $860.91 / $1,934.76	Professional		$782.64	$860.91	$1,934.76
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $136.29 / $208.58 / $290.20	Professional	55	$136.29	$208.58	$290.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $714.34 / $1,128.88 / $1,535.44	Professional		$714.34	$1,128.88	$1,535.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $847.32 / $1,670.59 / $2,212.76	Facility		$847.32	$1,670.59	$2,212.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,114.95 / $1,461.07 / $1,728.60	Professional		$1,114.95	$1,461.07	$1,728.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,574.98	Professional		$32.34	$32.34	$1,574.98
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 $1,461.07 / $1,784.22 / $1,798.06	Professional		$1,461.07	$1,784.22	$1,798.06
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 $948.24 / $1,185.30 / $1,701.56	Professional		$948.24	$1,185.30	$1,701.56