Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,422.00 / $4,500.00 / $8,622.00	Facility		$3,422.00	$4,500.00	$8,622.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,389.11 / $1,496.22 / $2,115.82	Professional		$1,389.11	$1,496.22	$2,115.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,485.93 / $1,818.97 / $2,030.77	Professional		$1,485.93	$1,818.97	$2,030.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,201.73 / $1,838.56 / $2,308.12	Facility		$1,201.73	$1,838.56	$2,308.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,694.02 / $1,796.69 / $2,053.36	Professional		$1,694.02	$1,796.69	$2,053.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,481.27 / $1,863.54	Professional		$32.34	$1,481.27	$1,863.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,693.55 / $8,522.07 / $10,689.08	Facility		$4,693.55	$8,522.07	$10,689.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,612.76 / $1,612.76 / $1,982.19	Professional		$1,612.76	$1,612.76	$1,982.19
United Facility/Professional Facility Modifier Low / Median / High Price $5,550.00 / $12,152.00 / $12,233.00	Facility		$5,550.00	$12,152.00	$12,233.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,102.54 / $1,509.69 / $2,251.12	Professional		$1,102.54	$1,509.69	$2,251.12