Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,415.00 / $4,500.00 / $8,439.00	Facility		$4,415.00	$4,500.00	$8,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,491.67 / $2,004.86 / $3,050.14	Professional		$1,491.67	$2,004.86	$3,050.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,613.35 / $2,212.29 / $2,632.96	Professional		$1,613.35	$2,212.29	$2,632.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,340.82 / $1,906.36 / $3,586.41	Facility		$1,340.82	$1,906.36	$3,586.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,435.35 / $2,582.94 / $3,488.20	Professional		$2,435.35	$2,582.94	$3,488.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $2,078.27 / $2,614.60	Professional		$32.34	$2,078.27	$2,614.60
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 $2,563.52 / $3,015.91 / $3,488.20	Professional		$2,563.52	$3,015.91	$3,488.20
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 $1,547.28 / $2,277.94 / $3,225.66	Professional		$1,547.28	$2,277.94	$3,225.66