Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,313.01 / $1,313.01 / $9,508.79	Facility		$1,313.01	$1,313.01	$9,508.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $625.29 / $892.70 / $1,103.36	Professional		$625.29	$892.70	$1,103.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $869.15 / $1,063.96 / $1,187.83	Professional		$869.15	$1,063.96	$1,187.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $635.94 / $1,024.17 / $1,412.31	Facility		$635.94	$1,024.17	$1,412.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,035.41 / $1,049.42 / $1,255.04	Professional		$1,035.41	$1,049.42	$1,255.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $896.10 / $1,127.34	Professional		$32.34	$896.10	$1,127.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $24,430.98 / $34,178.19 / $43,515.35	Facility		$24,430.98	$34,178.19	$43,515.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $992.31 / $992.31 / $1,049.43	Professional		$992.31	$992.31	$1,049.43
United Facility/Professional Facility Modifier Low / Median / High Price $11,800.00 / $26,422.00 / $29,092.00	Facility		$11,800.00	$26,422.00	$29,092.00
United Facility/Professional Professional Modifier Low / Median / High Price $647.28 / $916.97 / $1,298.35	Professional		$647.28	$916.97	$1,298.35