Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,415.00 / $8,439.00 / $10,038.12	Facility		$4,415.00	$8,439.00	$10,038.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,056.29 / $1,515.12 / $3,118.24	Professional		$1,056.29	$1,515.12	$3,118.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,018.90 / $1,693.22 / $2,052.92	Professional		$1,018.90	$1,693.22	$2,052.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,160.67 / $1,939.35 / $3,305.33	Facility		$1,160.67	$1,939.35	$3,305.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.25 / $1,842.54 / $2,105.76	Professional		$1,737.25	$1,842.54	$2,105.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,489.29 / $1,873.62	Professional		$32.34	$1,489.29	$1,873.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,660.78 / $13,168.12 / $17,807.80	Facility		$9,660.78	$13,168.12	$17,807.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,830.44 / $2,147.21 / $2,183.33	Professional		$1,830.44	$2,147.21	$2,183.33
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 $1,144.04 / $1,505.73 / $2,345.80	Professional		$1,144.04	$1,505.73	$2,345.80