Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,628.00 / $4,500.00 / $7,205.00	Facility		$1,628.00	$4,500.00	$7,205.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $500.31 / $1,062.16 / $1,062.16	Professional		$500.31	$1,062.16	$1,062.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $393.06 / $620.10 / $843.43	Professional		$393.06	$620.10	$843.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $470.31 / $874.54 / $1,125.89	Facility		$470.31	$874.54	$1,125.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $618.80 / $805.26 / $959.40	Professional		$618.80	$805.26	$959.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $870.99	Professional		$32.34	$32.34	$870.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,625.43 / $10,854.89 / $13,325.26	Facility		$4,625.43	$10,854.89	$13,325.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $805.26 / $989.75 / $994.63	Professional		$805.26	$989.75	$994.63
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 $515.99 / $647.54 / $930.59	Professional		$515.99	$647.54	$930.59