Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,628.00 / $4,500.00 / $7,205.00	Facility		$1,628.00	$4,500.00	$7,205.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,042.02 / $1,320.79 / $2,301.21	Professional		$1,042.02	$1,320.79	$2,301.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,422.58 / $1,741.43 / $1,944.20	Professional		$1,422.58	$1,741.43	$1,944.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,153.67 / $1,953.06 / $2,439.28	Facility		$1,153.67	$1,953.06	$2,439.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,626.24 / $1,724.80 / $1,971.20	Professional		$1,626.24	$1,724.80	$1,971.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,421.89 / $1,788.83	Professional		$32.34	$1,421.89	$1,788.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,671.73 / $5,048.97 / $6,186.02	Facility		$3,671.73	$5,048.97	$6,186.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,549.33 / $1,549.33 / $1,900.24	Professional		$1,549.33	$1,549.33	$1,900.24
United Facility/Professional Facility Modifier Low / Median / High Price $5,550.00 / $12,152.00 / $12,233.00	Facility		$5,550.00	$12,152.00	$12,233.00
United Facility/Professional Professional Modifier Low / Median / High Price $994.16 / $1,423.70 / $2,163.76	Professional		$994.16	$1,423.70	$2,163.76