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 $1,528.78 / $2,201.48 / $3,127.22	Professional		$1,528.78	$2,201.48	$3,127.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,738.00 / $2,292.00 / $2,701.24	Professional		$1,738.00	$2,292.00	$2,701.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,484.14 / $2,680.82 / $3,672.49	Facility		$1,484.14	$2,680.82	$3,672.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,497.80 / $2,724.88 / $3,576.24	Professional		$2,497.80	$2,724.88	$3,576.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $2,131.37 / $2,681.41	Professional		$32.34	$2,131.37	$2,681.41
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 $2,629.25 / $3,093.23 / $3,576.24	Professional		$2,629.25	$3,093.23	$3,576.24
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 $1,641.23 / $2,326.48 / $3,310.76	Professional		$1,641.23	$2,326.48	$3,310.76