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 $1,081.06 / $1,226.42 / $2,841.11	Professional		$1,081.06	$1,226.42	$2,841.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,298.24 / $1,589.22 / $1,774.27	Professional		$1,298.24	$1,589.22	$1,774.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,099.01 / $1,507.11 / $3,636.62	Facility		$1,099.01	$1,507.11	$3,636.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,514.68 / $1,723.82 / $1,835.98	Professional		$1,514.68	$1,723.82	$1,835.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,439.55 / $1,604.07	Professional		$32.34	$1,439.55	$1,604.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,746.02 / $7,934.73 / $9,934.86	Facility		$5,746.02	$7,934.73	$9,934.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,723.82 / $1,886.20 / $1,909.93	Professional		$1,723.82	$1,886.20	$1,909.93
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 $1,010.15 / $1,483.48 / $2,345.91	Professional		$1,010.15	$1,483.48	$2,345.91