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 $761.10 / $1,272.90 / $1,835.92	Professional		$761.10	$1,272.90	$1,835.92
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $125.73 / $195.84 / $275.39	Professional	55	$125.73	$195.84	$275.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $688.47 / $1,136.23 / $1,458.83	Professional		$688.47	$1,136.23	$1,458.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $803.79 / $1,629.31 / $1,946.08	Facility		$803.79	$1,629.31	$1,946.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $819.98 / $1,385.13 / $1,639.96	Professional		$819.98	$1,385.13	$1,639.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,496.31	Professional		$32.34	$32.34	$1,496.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,036.56 / $11,569.86 / $15,835.76	Facility		$9,036.56	$11,569.86	$15,835.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,385.13 / $1,690.91 / $1,701.78	Professional		$1,385.13	$1,690.91	$1,701.78
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 $891.00 / $1,113.75 / $1,683.00	Professional		$891.00	$1,113.75	$1,683.00