Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,897.00 / $4,500.00 / $7,761.00	Facility		$2,897.00	$4,500.00	$7,761.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $795.21 / $1,015.06 / $1,432.37	Professional		$795.21	$1,015.06	$1,432.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,005.37 / $1,230.70 / $1,374.00	Professional		$1,005.37	$1,230.70	$1,374.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $823.63 / $1,244.67 / $1,568.63	Facility		$823.63	$1,244.67	$1,568.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,150.69 / $1,220.43 / $1,394.78	Professional		$1,150.69	$1,220.43	$1,394.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,005.42 / $1,264.89	Professional		$32.34	$1,005.42	$1,264.89
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 $1,095.63 / $1,095.63 / $1,343.43	Professional		$1,095.63	$1,095.63	$1,343.43
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 $745.61 / $1,025.33 / $1,528.10	Professional		$745.61	$1,025.33	$1,528.10