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 $732.45 / $918.29 / $1,611.79	Professional		$732.45	$918.29	$1,611.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.28 / $1,224.47 / $1,367.04	Professional		$1,000.28	$1,224.47	$1,367.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $797.54 / $1,422.88 / $1,708.50	Facility		$797.54	$1,422.88	$1,708.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,126.67 / $1,194.95 / $1,365.66	Professional		$1,126.67	$1,194.95	$1,365.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $987.32 / $1,242.10	Professional		$32.34	$987.32	$1,242.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,064.64 / $12,228.99 / $15,681.77	Facility		$8,064.64	$12,228.99	$15,681.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,072.61 / $1,072.61 / $1,326.21	Professional		$1,072.61	$1,072.61	$1,326.21
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 $595.91 / $979.48 / $1,527.36	Professional		$595.91	$979.48	$1,527.36