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 $2,125.98 / $2,314.27 / $3,777.65	Professional		$2,125.98	$2,314.27	$3,777.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,134.19 / $2,520.85 / $2,916.73	Professional		$2,134.19	$2,520.85	$2,916.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,768.43 / $2,721.25 / $4,835.39	Facility		$1,768.43	$2,721.25	$4,835.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,483.38 / $2,633.89 / $3,010.16	Professional		$2,483.38	$2,633.89	$3,010.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $78.00 / $2,701.98	Professional		$30.00	$78.00	$2,701.98
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,866.94 / $14,097.25 / $17,807.80	Facility		$9,866.94	$14,097.25	$17,807.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,908.05 / $3,093.89 / $3,145.24	Professional		$2,908.05	$3,093.89	$3,145.24
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 $1,548.13 / $2,036.97 / $3,178.47	Professional		$1,548.13	$2,036.97	$3,178.47