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 $2,032.38 / $3,033.96 / $4,159.28	Professional		$2,032.38	$3,033.96	$4,159.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,290.91 / $3,126.40 / $3,866.67	Professional		$2,290.91	$3,126.40	$3,866.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,949.47 / $4,159.28 / $5,032.72	Facility		$1,949.47	$4,159.28	$5,032.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,307.44 / $3,608.12 / $4,748.88	Professional		$3,307.44	$3,608.12	$4,748.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $2,822.40 / $3,186.58	Professional		$32.34	$2,822.40	$3,186.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,480.35 / $9,397.43 / $15,505.75	Facility		$7,480.35	$9,397.43	$15,505.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,486.39 / $4,101.64 / $4,748.88	Professional		$3,486.39	$4,101.64	$4,748.88
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 $2,264.03 / $3,098.17 / $4,408.92	Professional		$2,264.03	$3,098.17	$4,408.92