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 $2,505.33 / $2,696.10 / $4,236.91	Professional		$2,505.33	$2,696.10	$4,236.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,426.06 / $2,969.82 / $3,315.61	Professional		$2,426.06	$2,969.82	$3,315.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,692.33 / $3,206.82 / $4,491.12	Facility		$1,692.33	$3,206.82	$4,491.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,767.33 / $2,935.05 / $3,354.34	Professional		$2,767.33	$2,935.05	$3,354.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $78.00 / $3,000.04	Professional		$30.00	$78.00	$3,000.04
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 $3,254.29 / $3,467.80 / $3,540.52	Professional		$3,254.29	$3,467.80	$3,540.52
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 $1,775.25 / $2,339.10 / $3,787.24	Professional		$1,775.25	$2,339.10	$3,787.24