Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,628.00 / $4,500.00 / $7,205.00	Facility		$1,628.00	$4,500.00	$7,205.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,421.63 / $1,536.48 / $2,474.79	Professional		$1,421.63	$1,536.48	$2,474.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,395.47 / $1,708.24 / $1,907.14	Professional		$1,395.47	$1,708.24	$1,907.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,083.07 / $1,819.69 / $2,623.28	Facility		$1,083.07	$1,819.69	$2,623.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,634.24 / $1,733.29 / $1,980.90	Professional		$1,634.24	$1,733.29	$1,980.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $55.00 / $1,591.73	Professional		$30.00	$55.00	$1,591.73
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 $1,905.93 / $2,032.16 / $2,069.92	Professional		$1,905.93	$2,032.16	$2,069.92
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 $1,011.23 / $1,414.01 / $2,187.09	Professional		$1,011.23	$1,414.01	$2,187.09