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 $924.67 / $934.62 / $1,385.73	Professional		$924.67	$934.62	$1,385.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,106.15 / $1,343.58 / $1,511.74	Professional		$1,106.15	$1,343.58	$1,511.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $919.47 / $1,289.11 / $1,542.35	Facility		$919.47	$1,289.11	$1,542.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,273.45 / $1,340.48 / $1,543.58	Professional		$1,273.45	$1,340.48	$1,543.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,097.29 / $1,380.46	Professional		$32.34	$1,097.29	$1,380.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,306.08 / $18,816.75 / $23,096.74	Facility		$10,306.08	$18,816.75	$23,096.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,226.07 / $1,226.07 / $1,491.95	Professional		$1,226.07	$1,226.07	$1,491.95
United Facility/Professional Facility Modifier Low / Median / High Price $9,360.00 / $16,762.00 / $17,870.00	Facility		$9,360.00	$16,762.00	$17,870.00
United Facility/Professional Professional Modifier Low / Median / High Price $768.95 / $999.58 / $1,508.53	Professional		$768.95	$999.58	$1,508.53