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 $2,455.73 / $3,143.92 / $4,951.04	Professional		$2,455.73	$3,143.92	$4,951.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,709.07 / $3,612.09 / $4,317.55	Professional		$2,709.07	$3,612.09	$4,317.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,241.81 / $4,140.64 / $5,693.70	Facility		$2,241.81	$4,140.64	$5,693.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,899.87 / $4,254.41 / $5,651.28	Professional		$3,899.87	$4,254.41	$5,651.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $3,343.55 / $4,206.39	Professional		$32.34	$3,343.55	$4,206.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,660.78 / $14,097.25 / $17,807.80	Facility		$9,660.78	$14,097.25	$17,807.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,507.31 / $4,834.79 / $5,651.27	Professional		$3,507.31	$4,834.79	$5,651.27
United Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $10,120.00 / $27,159.00	Facility		$2,100.00	$10,120.00	$27,159.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,317.31 / $3,413.75 / $4,907.28	Professional		$2,317.31	$3,413.75	$4,907.28