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 $433.19 / $686.42 / $1,402.60	Professional		$433.19	$686.42	$1,402.60
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $596.84 / $596.84 / $596.84	Professional	50	$596.84	$596.84	$596.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $494.59 / $714.78 / $1,109.96	Professional		$494.59	$714.78	$1,109.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $452.26 / $922.90 / $1,430.65	Facility		$452.26	$922.90	$1,430.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $619.76 / $880.48 / $1,109.36	Professional		$619.76	$880.48	$1,109.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,117.66	Professional		$32.34	$32.34	$1,117.66
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 Facility Modifier 50 Low / Median / High Price $5,407.41 / $8,319.90 / $11,041.11	Facility	50	$5,407.41	$8,319.90	$11,041.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $736.96 / $1,052.83 / $1,293.01	Professional		$736.96	$1,052.83	$1,293.01
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 $622.08 / $846.72 / $1,187.55	Professional		$622.08	$846.72	$1,187.55