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 $906.04 / $996.08 / $1,193.60	Professional		$906.04	$996.08	$1,193.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $941.42 / $1,152.42 / $1,286.60	Professional		$941.42	$1,152.42	$1,286.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $701.34 / $1,159.73 / $1,365.81	Facility		$701.34	$1,159.73	$1,365.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,067.43 / $1,089.27 / $1,293.85	Professional		$1,067.43	$1,089.27	$1,293.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $921.54 / $1,159.34	Professional		$32.34	$921.54	$1,159.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,749.17 / $3,789.62 / $4,803.78	Facility		$2,749.17	$3,789.62	$4,803.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,029.14 / $1,029.14 / $1,089.27	Professional		$1,029.14	$1,029.14	$1,089.27
United Facility/Professional Facility Modifier Low / Median / High Price $3,450.00 / $6,124.00 / $7,609.00	Facility		$3,450.00	$6,124.00	$7,609.00
United Facility/Professional Professional Modifier Low / Median / High Price $689.31 / $933.75 / $1,411.00	Professional		$689.31	$933.75	$1,411.00