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 $1,230.00 / $1,325.01 / $1,872.22	Professional		$1,230.00	$1,325.01	$1,872.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,315.75 / $1,610.65 / $1,798.19	Professional		$1,315.75	$1,610.65	$1,798.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,064.11 / $1,625.77 / $2,045.41	Facility		$1,064.11	$1,625.77	$2,045.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,499.75 / $1,590.65 / $1,817.88	Professional		$1,499.75	$1,590.65	$1,817.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,311.21 / $1,649.58	Professional		$32.34	$1,311.21	$1,649.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,284.43 / $8,724.34 / $10,689.08	Facility		$6,284.43	$8,724.34	$10,689.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,428.11 / $1,428.11 / $1,752.96	Professional		$1,428.11	$1,428.11	$1,752.96
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 $977.67 / $1,398.07 / $2,004.67	Professional		$977.67	$1,398.07	$2,004.67