Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,422.00 / $4,500.00 / $8,622.00	Facility		$3,422.00	$4,500.00	$8,622.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,337.19 / $3,735.76 / $4,080.73	Professional		$2,337.19	$3,735.76	$4,080.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,752.50 / $3,726.32 / $4,740.14	Professional		$1,752.50	$3,726.32	$4,740.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,986.62 / $3,673.20 / $4,652.03	Facility		$1,986.62	$3,673.20	$4,652.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,337.52 / $4,731.84 / $5,257.60	Professional		$4,337.52	$4,731.84	$5,257.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $4,200.70	Professional		$32.34	$32.34	$4,200.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,327.80 / $4,747.49 / $5,755.74	Facility		$3,327.80	$4,747.49	$5,755.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,086.93 / $4,123.20 / $5,004.43	Professional		$4,086.93	$4,123.20	$5,004.43
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 $2,579.84 / $3,456.21 / $4,634.45	Professional		$2,579.84	$3,456.21	$4,634.45