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 $852.11 / $971.14 / $7,943.92	Professional		$852.11	$971.14	$7,943.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,214.76 / $4,214.76 / $4,226.60	Facility		$4,214.76	$4,214.76	$4,226.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $852.11 / $943.81 / $1,349.16	Facility		$852.11	$943.81	$1,349.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5,410.06 / $5,410.06 / $5,900.67	Professional		$5,410.06	$5,410.06	$5,900.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $55.00 / $3,900.00	Professional		$30.00	$55.00	$3,900.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,653.11 / $17,361.59 / $22,059.79	Facility		$10,653.11	$17,361.59	$22,059.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,181.93 / $1,390.51 / $1,462.90	Professional		$1,181.93	$1,390.51	$1,462.90
United Facility/Professional Facility Modifier Low / Median / High Price $2,600.00 / $11,800.00 / $29,092.00	Facility		$2,600.00	$11,800.00	$29,092.00
United Facility/Professional Professional Modifier Low / Median / High Price $997.55 / $1,385.48 / $1,939.70	Professional		$997.55	$1,385.48	$1,939.70