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 $603.07 / $719.66 / $1,457.52	Professional		$603.07	$719.66	$1,457.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $539.65 / $849.88 / $1,155.96	Professional		$539.65	$849.88	$1,155.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $608.87 / $1,079.83 / $1,544.97	Facility		$608.87	$1,079.83	$1,544.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $844.55 / $1,101.53 / $1,309.38	Professional		$844.55	$1,101.53	$1,309.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,069.01	Professional		$32.34	$32.34	$1,069.01
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 $1,101.53 / $1,345.66 / $1,357.36	Professional		$1,101.53	$1,345.66	$1,357.36
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 $736.44 / $922.95 / $1,366.10	Professional		$736.44	$922.95	$1,366.10