Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $5,519.00	Facility		$4,500.00	$4,500.00	$5,519.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,143.92 / $1,298.33 / $3,007.48	Professional		$1,143.92	$1,298.33	$3,007.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,374.27 / $1,682.29 / $1,878.17	Professional		$1,374.27	$1,682.29	$1,878.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,099.01 / $1,595.51 / $3,849.57	Facility		$1,099.01	$1,595.51	$3,849.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,604.89 / $1,824.92 / $1,945.32	Professional		$1,604.89	$1,824.92	$1,945.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,525.00 / $1,699.29	Professional		$32.34	$1,525.00	$1,699.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,342.03 / $13,217.86 / $17,141.09	Facility		$8,342.03	$13,217.86	$17,141.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,824.92 / $1,997.50 / $2,021.80	Professional		$1,824.92	$1,997.50	$2,021.80
United Facility/Professional Facility Modifier Low / Median / High Price $11,800.00 / $26,422.00 / $29,092.00	Facility		$11,800.00	$26,422.00	$29,092.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,069.70 / $1,542.64 / $2,384.08	Professional		$1,069.70	$1,542.64	$2,384.08