Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,897.00 / $5,519.00 / $14,518.89	Facility		$2,897.00	$5,519.00	$14,518.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $684.59 / $1,037.15 / $1,239.33	Professional		$684.59	$1,037.15	$1,239.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $972.15 / $1,187.38 / $1,328.61	Professional		$972.15	$1,187.38	$1,328.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $741.15 / $1,212.30 / $1,353.77	Facility		$741.15	$1,212.30	$1,353.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,105.33 / $1,119.67 / $1,339.80	Professional		$1,105.33	$1,119.67	$1,339.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $953.28 / $1,199.29	Professional		$32.34	$953.28	$1,199.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,803.94 / $7,766.93 / $9,755.03	Facility		$5,803.94	$7,766.93	$9,755.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,071.08 / $1,071.08 / $1,131.83	Professional		$1,071.08	$1,071.08	$1,131.83
United Facility/Professional Facility Modifier Low / Median / High Price $5,550.00 / $12,152.00 / $12,233.00	Facility		$5,550.00	$12,152.00	$12,233.00
United Facility/Professional Professional Modifier Low / Median / High Price $704.11 / $956.80 / $1,414.40	Professional		$704.11	$956.80	$1,414.40