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 $908.20 / $1,736.20 / $2,483.06	Professional		$908.20	$1,736.20	$2,483.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $917.69 / $1,449.80 / $2,051.81	Professional		$917.69	$1,449.80	$2,051.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,035.21 / $2,222.34 / $2,792.42	Facility		$1,035.21	$2,222.34	$2,792.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,427.90 / $1,873.38 / $2,213.80	Professional		$1,427.90	$1,873.38	$2,213.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,018.66	Professional		$32.34	$32.34	$2,018.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,042.08 / $1,394.94 / $1,770.12	Facility		$1,042.08	$1,394.94	$1,770.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,873.38 / $2,284.76 / $2,303.17	Professional		$1,873.38	$2,284.76	$2,303.17
United Facility/Professional Facility Modifier Low / Median / High Price $350.00 / $2,620.00 / $4,441.00	Facility		$350.00	$2,620.00	$4,441.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,135.08 / $1,647.50 / $2,174.69	Professional		$1,135.08	$1,647.50	$2,174.69