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 $2,054.75 / $2,235.65 / $3,647.77	Professional		$2,054.75	$2,235.65	$3,647.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,059.53 / $2,521.14 / $2,814.69	Professional		$2,059.53	$2,521.14	$2,814.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,704.96 / $2,630.08 / $4,669.14	Facility		$1,704.96	$2,630.08	$4,669.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,397.98 / $2,543.33 / $2,906.66	Professional		$2,397.98	$2,543.33	$2,906.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $78.00 / $2,608.48	Professional		$30.00	$78.00	$2,608.48
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 $2,808.17 / $2,986.59 / $3,038.12	Professional		$2,808.17	$2,986.59	$3,038.12
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 $1,517.57 / $2,100.67 / $3,111.70	Professional		$1,517.57	$2,100.67	$3,111.70