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 $1,049.27 / $1,130.34 / $1,597.94	Professional		$1,049.27	$1,130.34	$1,597.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.53 / $1,374.13 / $1,534.13	Professional		$1,122.53	$1,374.13	$1,534.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $928.67 / $1,388.73 / $1,748.44	Facility		$928.67	$1,388.73	$1,748.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,281.46 / $1,359.12 / $1,553.28	Professional		$1,281.46	$1,359.12	$1,553.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,120.56 / $1,409.73	Professional		$32.34	$1,120.56	$1,409.73
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,562.96 / $12,228.99 / $15,681.77	Facility		$8,562.96	$12,228.99	$15,681.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,219.93 / $1,219.93 / $1,497.61	Professional		$1,219.93	$1,219.93	$1,497.61
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 $813.31 / $1,091.11 / $1,710.14	Professional		$813.31	$1,091.11	$1,710.14