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 $1,824.23 / $1,970.56 / $3,146.45	Professional		$1,824.23	$1,970.56	$3,146.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,787.49 / $2,174.53 / $2,442.91	Professional		$1,787.49	$2,174.53	$2,442.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,259.38 / $2,335.01 / $3,335.24	Facility		$1,259.38	$2,335.01	$3,335.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,057.48 / $2,182.17 / $2,493.92	Professional		$2,057.48	$2,182.17	$2,493.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $55.00 / $2,003.56	Professional		$30.00	$55.00	$2,003.56
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 $2,417.79 / $2,574.69 / $2,625.89	Professional		$2,417.79	$2,574.69	$2,625.89
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 $1,308.97 / $1,756.51 / $2,683.98	Professional		$1,308.97	$1,756.51	$2,683.98