Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,368.07 / $1,900.73 / $5,519.00	Facility		$1,368.07	$1,900.73	$5,519.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $471.33 / $706.10 / $1,264.86	Professional		$471.33	$706.10	$1,264.86
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $707.01 / $707.01 / $2,092.69	Professional	50	$707.01	$707.01	$2,092.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $568.29 / $839.23 / $1,271.76	Professional		$568.29	$839.23	$1,271.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $484.38 / $1,054.79 / $1,643.99	Facility		$484.38	$1,054.79	$1,643.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $710.65 / $1,040.26 / $1,272.06	Professional		$710.65	$1,040.26	$1,272.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,150.40	Professional		$32.34	$32.34	$1,150.40
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 $870.45 / $1,202.26 / $1,480.30	Professional		$870.45	$1,202.26	$1,480.30
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 $766.44 / $961.15 / $1,431.67	Professional		$766.44	$961.15	$1,431.67