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 $1,392.81 / $2,198.80 / $3,460.80	Professional		$1,392.81	$2,198.80	$3,460.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,975.39 / $2,238.78 / $2,699.70	Professional		$1,975.39	$2,238.78	$2,699.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,375.92 / $2,486.09 / $3,668.45	Facility		$1,375.92	$2,486.09	$3,668.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,264.56 / $2,277.60 / $2,744.92	Professional		$2,264.56	$2,277.60	$2,744.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,938.80 / $2,439.14	Professional		$32.34	$1,938.80	$2,439.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,660.78 / $14,097.25 / $17,807.80	Facility		$9,660.78	$14,097.25	$17,807.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,651.44 / $2,839.29 / $2,903.87	Professional		$2,651.44	$2,839.29	$2,903.87
United Facility/Professional Facility Modifier Low / Median / High Price $10,120.00 / $22,317.00 / $27,159.00	Facility		$10,120.00	$22,317.00	$27,159.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,208.02 / $1,783.18 / $2,798.82	Professional		$1,208.02	$1,783.18	$2,798.82