Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,422.00 / $4,500.00 / $8,622.00	Facility		$3,422.00	$4,500.00	$8,622.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,123.63 / $1,568.70 / $2,258.02	Professional		$1,123.63	$1,568.70	$2,258.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,252.41 / $1,683.11 / $1,940.57	Professional		$1,252.41	$1,683.11	$1,940.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,066.09 / $2,011.28 / $2,622.37	Facility		$1,066.09	$2,011.28	$2,622.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,805.03 / $1,969.13 / $2,583.90	Professional		$1,805.03	$1,969.13	$2,583.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,540.31 / $1,739.06	Professional		$32.34	$1,540.31	$1,739.06
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,379.50 / $4,245.60 / $7,005.24	Facility		$3,379.50	$4,245.60	$7,005.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,901.82 / $2,237.44 / $2,583.91	Professional		$1,901.82	$2,237.44	$2,583.91
United Facility/Professional Facility Modifier Low / Median / High Price $1,500.00 / $9,360.00 / $17,870.00	Facility		$1,500.00	$9,360.00	$17,870.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,172.51 / $1,669.21 / $2,375.41	Professional		$1,172.51	$1,669.21	$2,375.41