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 $1,054.49 / $1,198.93 / $2,773.77	Professional		$1,054.49	$1,198.93	$2,773.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,265.45 / $1,549.08 / $1,729.45	Professional		$1,265.45	$1,549.08	$1,729.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,099.01 / $1,475.10 / $3,550.43	Facility		$1,099.01	$1,475.10	$3,550.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,480.53 / $1,683.96 / $1,794.58	Professional		$1,480.53	$1,683.96	$1,794.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,407.84 / $1,568.74	Professional		$32.34	$1,407.84	$1,568.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,746.02 / $8,108.76 / $9,934.86	Facility		$5,746.02	$8,108.76	$9,934.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,683.96 / $1,843.54 / $1,865.86	Professional		$1,683.96	$1,843.54	$1,865.86
United Facility/Professional Facility Modifier Low / Median / High Price $9,360.00 / $16,762.00 / $17,870.00	Facility		$9,360.00	$16,762.00	$17,870.00
United Facility/Professional Professional Modifier Low / Median / High Price $983.44 / $1,348.98 / $2,016.50	Professional		$983.44	$1,348.98	$2,016.50