Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,897.00 / $4,500.00 / $7,761.00	Facility		$2,897.00	$4,500.00	$7,761.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $577.46 / $741.80 / $1,399.04	Professional		$577.46	$741.80	$1,399.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $603.63 / $913.00 / $1,331.97	Professional		$603.63	$913.00	$1,331.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $615.34 / $1,202.75 / $1,759.32	Facility		$615.34	$1,202.75	$1,759.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $810.34 / $1,230.75 / $1,335.18	Professional		$810.34	$1,230.75	$1,335.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,352.19	Professional		$32.34	$32.34	$1,352.19
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 $1,057.19 / $1,293.01 / $1,546.95	Professional		$1,057.19	$1,293.01	$1,546.95
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 $804.49 / $1,022.40 / $1,521.33	Professional		$804.49	$1,022.40	$1,521.33