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 $565.32 / $968.06 / $1,374.27	Professional		$565.32	$968.06	$1,374.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $508.50 / $801.22 / $1,089.78	Professional		$508.50	$801.22	$1,089.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $599.49 / $1,150.11 / $1,466.40	Facility		$599.49	$1,150.11	$1,466.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $799.08 / $1,040.19 / $1,238.88	Professional		$799.08	$1,040.19	$1,238.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,126.75	Professional		$32.34	$32.34	$1,126.75
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 Facility Modifier 50 Low / Median / High Price $9,400.70 / $13,746.47 / $18,268.25	Facility	50	$9,400.70	$13,746.47	$18,268.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,040.19 / $1,275.68 / $1,282.78	Professional		$1,040.19	$1,275.68	$1,282.78
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 $692.35 / $860.10 / $1,275.40	Professional		$692.35	$860.10	$1,275.40