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 $1,118.63 / $1,137.40 / $1,980.47	Professional		$1,118.63	$1,137.40	$1,980.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,225.80 / $1,500.55 / $1,675.27	Professional		$1,225.80	$1,500.55	$1,675.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $993.45 / $1,735.45 / $2,099.30	Facility		$993.45	$1,735.45	$2,099.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,399.94 / $1,399.94 / $1,696.90	Professional		$1,399.94	$1,399.94	$1,696.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,223.76 / $1,539.56	Professional		$32.34	$1,223.76	$1,539.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,499.79 / $12,228.99 / $15,681.77	Facility		$6,499.79	$12,228.99	$15,681.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,332.46 / $1,332.46 / $1,636.05	Professional		$1,332.46	$1,332.46	$1,636.05
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 $910.18 / $1,336.66 / $1,866.28	Professional		$910.18	$1,336.66	$1,866.28