Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,415.00 / $4,500.00 / $8,439.00	Facility		$4,415.00	$4,500.00	$8,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $968.70 / $975.03 / $1,455.69	Professional		$968.70	$975.03	$1,455.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,166.42 / $1,427.85 / $1,594.11	Professional		$1,166.42	$1,427.85	$1,594.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $970.94 / $1,455.69 / $1,694.79	Facility		$970.94	$1,455.69	$1,694.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,345.51 / $1,427.06 / $1,630.92	Professional		$1,345.51	$1,427.06	$1,630.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,160.21 / $1,459.61	Professional		$32.34	$1,160.21	$1,459.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,966.37 / $12,222.47 / $15,458.09	Facility		$8,966.37	$12,222.47	$15,458.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,281.82 / $1,281.82 / $1,564.19	Professional		$1,281.82	$1,281.82	$1,564.19
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 $861.82 / $1,125.61 / $1,695.48	Professional		$861.82	$1,125.61	$1,695.48