Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,422.00 / $4,500.00 / $8,622.00	Facility		$3,422.00	$4,500.00	$8,622.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $531.38 / $934.73 / $1,182.23	Professional		$531.38	$934.73	$1,182.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $421.43 / $615.66 / $870.27	Professional		$421.43	$615.66	$870.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $433.54 / $889.42 / $1,253.16	Facility		$433.54	$889.42	$1,253.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $544.96 / $844.90 / $942.61	Professional		$544.96	$844.90	$942.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $853.13	Professional		$32.34	$32.34	$853.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,884.56 / $5,546.60 / $7,080.21	Facility		$3,884.56	$5,546.60	$7,080.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $707.58 / $891.27 / $1,093.06	Professional		$707.58	$891.27	$1,093.06
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 $571.32 / $714.16 / $1,059.63	Professional		$571.32	$714.16	$1,059.63