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 $1,226.60 / $1,556.72 / $2,493.94	Professional		$1,226.60	$1,556.72	$2,493.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,272.25 / $1,782.11 / $2,116.25	Professional		$1,272.25	$1,782.11	$2,116.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,111.09 / $1,962.86 / $2,868.03	Facility		$1,111.09	$1,962.86	$2,868.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,979.03 / $2,134.40 / $2,848.54	Professional		$1,979.03	$2,134.40	$2,848.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,688.62 / $2,124.39	Professional		$32.34	$1,688.62	$2,124.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,896.50 / $17,361.59 / $22,059.79	Facility		$12,896.50	$17,361.59	$22,059.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,092.17 / $2,461.38 / $2,848.54	Professional		$2,092.17	$2,461.38	$2,848.54
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 $1,069.56 / $1,645.91 / $2,303.82	Professional		$1,069.56	$1,645.91	$2,303.82