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 $1,133.95 / $1,559.95 / $2,278.35	Professional		$1,133.95	$1,559.95	$2,278.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,267.09 / $1,692.00 / $1,959.86	Professional		$1,267.09	$1,692.00	$1,959.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,073.96 / $1,958.79 / $2,666.43	Facility		$1,073.96	$1,958.79	$2,666.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,826.39 / $1,992.42 / $2,609.73	Professional		$1,826.39	$1,992.42	$2,609.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,558.53 / $1,960.73	Professional		$32.34	$1,558.53	$1,960.73
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 $1,922.79 / $2,262.10 / $2,609.73	Professional		$1,922.79	$2,262.10	$2,609.73
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 $1,229.69 / $1,688.44 / $2,402.78	Professional		$1,229.69	$1,688.44	$2,402.78