Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,755.45 / $4,657.00 / $6,723.00	Facility		$1,755.45	$4,657.00	$6,723.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $584.94 / $775.60 / $1,462.88	Professional		$584.94	$775.60	$1,462.88
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $100.51 / $156.68 / $219.43	Professional	55	$100.51	$156.68	$219.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.39 / $904.33 / $1,162.41	Professional		$549.39	$904.33	$1,162.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $643.74 / $1,305.96 / $1,550.65	Facility		$643.74	$1,305.96	$1,550.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $656.63 / $1,105.58 / $1,313.26	Professional		$656.63	$1,105.58	$1,313.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,073.50	Professional		$32.34	$32.34	$1,073.50
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 $1,105.58 / $1,351.66 / $1,360.07	Professional		$1,105.58	$1,351.66	$1,360.07
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 $710.99 / $987.49 / $1,313.37	Professional		$710.99	$987.49	$1,313.37