Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $5,519.00	Facility		$4,500.00	$4,500.00	$5,519.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $663.26 / $898.88 / $1,735.17	Professional		$663.26	$898.88	$1,735.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $682.91 / $1,042.08 / $1,426.32	Professional		$682.91	$1,042.08	$1,426.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $791.97 / $1,540.23 / $2,022.93	Facility		$791.97	$1,540.23	$2,022.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,005.21 / $1,404.74 / $1,558.46	Professional		$1,005.21	$1,404.74	$1,558.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,385.95	Professional		$32.34	$32.34	$1,385.95
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 $1,313.76 / $1,610.93 / $1,766.89	Professional		$1,313.76	$1,610.93	$1,766.89
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 $827.31 / $1,255.50 / $1,757.70	Professional		$827.31	$1,255.50	$1,757.70