Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $5,519.00	Facility		$4,500.00	$4,500.00	$5,519.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,919.78 / $2,310.71 / $2,925.47	Professional		$1,919.78	$2,310.71	$2,925.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,510.08 / $5,510.08 / $5,525.57	Facility		$5,510.08	$5,510.08	$5,525.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,592.61 / $2,249.26 / $2,968.33	Facility		$1,592.61	$2,249.26	$2,968.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,104.35 / $2,104.35 / $7,072.74	Professional		$2,104.35	$2,104.35	$7,072.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $2,509.03 / $3,500.00	Professional		$30.00	$2,509.03	$3,500.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,138.70 / $17,361.59 / $22,059.79	Facility		$8,138.70	$17,361.59	$22,059.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,485.23 / $2,923.81 / $3,300.42	Professional		$2,485.23	$2,923.81	$3,300.42
United Facility/Professional Facility Modifier Low / Median / High Price $1,500.00 / $9,360.00 / $17,870.00	Facility		$1,500.00	$9,360.00	$17,870.00
United Facility/Professional Professional Modifier Low / Median / High Price $581.51 / $1,148.10 / $2,963.10	Professional		$581.51	$1,148.10	$2,963.10