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 $1,107.56 / $1,257.57 / $2,913.37	Professional		$1,107.56	$1,257.57	$2,913.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,330.33 / $1,628.50 / $1,818.11	Professional		$1,330.33	$1,628.50	$1,818.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,099.01 / $1,545.59 / $3,729.11	Facility		$1,099.01	$1,545.59	$3,729.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,555.79 / $1,769.03 / $1,885.80	Professional		$1,555.79	$1,769.03	$1,885.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,478.23 / $1,647.17	Professional		$32.34	$1,478.23	$1,647.17
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 $1,769.03 / $1,934.85 / $1,960.78	Professional		$1,769.03	$1,934.85	$1,960.78
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 $1,036.13 / $1,433.48 / $2,208.30	Professional		$1,036.13	$1,433.48	$2,208.30