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 $1,181.41 / $1,366.21 / $2,034.32	Professional		$1,181.41	$1,366.21	$2,034.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,630.35 / $1,995.76 / $2,228.14	Professional		$1,630.35	$1,995.76	$2,228.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,143.04 / $2,034.32 / $2,339.57	Facility		$1,143.04	$2,034.32	$2,339.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,868.01 / $1,981.23 / $2,264.26	Professional		$1,868.01	$1,981.23	$2,264.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,610.65 / $2,026.30	Professional		$32.34	$1,610.65	$2,026.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,781.66 / $7,272.33 / $9,472.49	Facility		$4,781.66	$7,272.33	$9,472.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,795.88 / $1,795.88 / $2,190.41	Professional		$1,795.88	$1,795.88	$2,190.41
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 $1,213.69 / $1,735.58 / $2,488.61	Professional		$1,213.69	$1,735.58	$2,488.61