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 $1,019.50 / $1,036.51 / $1,805.12	Professional		$1,019.50	$1,036.51	$1,805.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,116.68 / $1,366.97 / $1,526.13	Professional		$1,116.68	$1,366.97	$1,526.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $905.55 / $1,580.00 / $1,913.43	Facility		$905.55	$1,580.00	$1,913.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,276.10 / $1,353.45 / $1,546.80	Professional		$1,276.10	$1,353.45	$1,546.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,115.54 / $1,403.42	Professional		$32.34	$1,115.54	$1,403.42
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 $1,214.30 / $1,214.30 / $1,490.63	Professional		$1,214.30	$1,214.30	$1,490.63
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 $829.34 / $1,058.40 / $1,700.52	Professional		$829.34	$1,058.40	$1,700.52