Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,657.00 / $5,519.00	Facility		$4,500.00	$4,657.00	$5,519.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,987.86 / $2,916.75 / $4,072.29	Professional		$1,987.86	$2,916.75	$4,072.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,254.31 / $2,992.95 / $3,560.94	Professional		$2,254.31	$2,992.95	$3,560.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,908.42 / $3,671.77 / $4,886.75	Facility		$1,908.42	$3,671.77	$4,886.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,238.60 / $3,533.02 / $4,647.55	Professional		$3,238.60	$3,533.02	$4,647.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $2,763.39 / $3,119.95	Professional		$32.34	$2,763.39	$3,119.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18,946.55 / $23,802.20 / $39,273.62	Facility		$18,946.55	$23,802.20	$39,273.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,412.18 / $4,014.33 / $4,647.54	Professional		$3,412.18	$4,014.33	$4,647.54
United Facility/Professional Facility Modifier Low / Median / High Price $4,800.00 / $12,000.00 / $65,746.00	Facility		$4,800.00	$12,000.00	$65,746.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,161.08 / $3,070.68 / $4,403.00	Professional		$2,161.08	$3,070.68	$4,403.00