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 $518.60 / $1,014.49 / $1,507.44	Professional		$518.60	$1,014.49	$1,507.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $589.64 / $928.83 / $1,137.01	Professional		$589.64	$928.83	$1,137.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $727.64 / $1,298.55 / $1,597.89	Facility		$727.64	$1,298.55	$1,597.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $888.97 / $888.97 / $888.97	Professional		$888.97	$888.97	$888.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $615.44 / $3,500.00	Professional		$30.00	$615.44	$3,500.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,600.42 / $10,854.89 / $13,325.26	Facility		$7,600.42	$10,854.89	$13,325.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,438.97 / $1,438.97 / $1,448.21	Professional		$1,438.97	$1,438.97	$1,448.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,980.00 / $10,120.00 / $27,159.00	Facility		$1,980.00	$10,120.00	$27,159.00
United Facility/Professional Professional Modifier Low / Median / High Price $678.84 / $857.58 / $1,282.26	Professional		$678.84	$857.58	$1,282.26