Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,897.00 / $4,500.00 / $7,761.00	Facility		$2,897.00	$4,500.00	$7,761.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,110.59 / $1,203.66 / $1,955.21	Professional		$1,110.59	$1,203.66	$1,955.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,099.85 / $1,346.38 / $1,503.14	Professional		$1,099.85	$1,346.38	$1,503.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $815.43 / $1,421.57 / $2,072.52	Facility		$815.43	$1,421.57	$2,072.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,132.02 / $1,200.61 / $1,402.44	Professional		$1,132.02	$1,200.61	$1,402.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $78.00 / $1,227.88	Professional		$30.00	$78.00	$1,227.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,040.66 / $7,582.86 / $9,755.03	Facility		$5,040.66	$7,582.86	$9,755.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,428.98 / $1,428.98 / $1,629.23	Professional		$1,428.98	$1,428.98	$1,629.23
United Facility/Professional Facility Modifier Low / Median / High Price $5,550.00 / $12,152.00 / $12,233.00	Facility		$5,550.00	$12,152.00	$12,233.00
United Facility/Professional Professional Modifier Low / Median / High Price $637.78 / $1,029.59 / $1,670.24	Professional		$637.78	$1,029.59	$1,670.24