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 $1,342.89 / $2,085.66 / $2,965.11	Professional		$1,342.89	$2,085.66	$2,965.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,647.66 / $2,195.00 / $2,552.01	Professional		$1,647.66	$2,195.00	$2,552.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,402.99 / $2,633.76 / $3,478.21	Facility		$1,402.99	$2,633.76	$3,478.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,366.50 / $2,581.63 / $3,389.36	Professional		$2,366.50	$2,581.63	$3,389.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $2,019.28 / $2,540.38	Professional		$32.34	$2,019.28	$2,540.38
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 $2,492.71 / $2,932.60 / $3,389.36	Professional		$2,492.71	$2,932.60	$3,389.36
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 $1,598.02 / $2,204.80 / $3,137.60	Professional		$1,598.02	$2,204.80	$3,137.60