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 $658.11 / $1,300.00 / $1,400.39	Professional		$658.11	$1,300.00	$1,400.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $519.62 / $816.48 / $1,110.54	Professional		$519.62	$816.48	$1,110.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $613.80 / $1,181.03 / $1,484.41	Facility		$613.80	$1,181.03	$1,484.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $813.25 / $1,059.58 / $1,260.85	Professional		$813.25	$1,059.58	$1,260.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,147.71	Professional		$32.34	$32.34	$1,147.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,412.57 / $9,164.31 / $11,714.67	Facility		$6,412.57	$9,164.31	$11,714.67
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,059.57 / $1,298.33 / $1,305.83	Professional		$1,059.57	$1,298.33	$1,305.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $9,360.00 / $17,870.00	Facility		$1,400.00	$9,360.00	$17,870.00
United Facility/Professional Professional Modifier Low / Median / High Price $705.27 / $864.60 / $1,299.20	Professional		$705.27	$864.60	$1,299.20