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 $1,776.86 / $1,925.89 / $3,064.54	Professional		$1,776.86	$1,925.89	$3,064.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,760.10 / $2,154.60 / $2,405.48	Professional		$1,760.10	$2,154.60	$2,405.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,406.44 / $2,274.38 / $3,248.41	Facility		$1,406.44	$2,274.38	$3,248.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,005.18 / $2,126.71 / $2,430.52	Professional		$2,005.18	$2,126.71	$2,430.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $78.00 / $2,178.92	Professional		$30.00	$78.00	$2,178.92
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 $2,357.10 / $2,507.37 / $2,554.69	Professional		$2,357.10	$2,507.37	$2,554.69
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 $1,303.92 / $1,847.79 / $2,752.83	Professional		$1,303.92	$1,847.79	$2,752.83