Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $5,519.00	Facility		$4,500.00	$4,500.00	$5,519.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,257.54 / $5,553.04 / $7,550.70	Professional		$5,257.54	$5,553.04	$7,550.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,113.05 / $5,794.79 / $6,987.83	Professional		$5,113.05	$5,794.79	$6,987.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5,257.54 / $6,832.52 / $9,664.90	Facility		$5,257.54	$6,832.52	$9,664.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $3,500.00 / $3,900.00	Professional		$30.00	$3,500.00	$3,900.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,658.49 / $12,222.47 / $15,458.09	Facility		$5,658.49	$12,222.47	$15,458.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $6,079.69 / $6,079.69 / $6,162.39	Professional		$6,079.69	$6,079.69	$6,162.39
United Facility/Professional Facility Modifier Low / Median / High Price $3,700.00 / $15,298.00 / $26,104.00	Facility		$3,700.00	$15,298.00	$26,104.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,875.66 / $5,624.14 / $7,624.70	Professional		$3,875.66	$5,624.14	$7,624.70