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 $1,370.44 / $1,923.71 / $2,809.37	Professional		$1,370.44	$1,923.71	$2,809.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,561.33 / $2,035.34 / $2,416.96	Professional		$1,561.33	$2,035.34	$2,416.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,323.32 / $2,432.23 / $3,281.95	Facility		$1,323.32	$2,432.23	$3,281.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,242.67 / $2,446.56 / $3,212.93	Professional		$2,242.67	$2,446.56	$3,212.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,913.26 / $2,407.00	Professional		$32.34	$1,913.26	$2,407.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,703.82 / $18,472.14 / $30,479.03	Facility		$14,703.82	$18,472.14	$30,479.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,361.84 / $2,778.64 / $3,212.93	Professional		$2,361.84	$2,778.64	$3,212.93
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 $1,520.77 / $2,083.89 / $3,023.00	Professional		$1,520.77	$2,083.89	$3,023.00