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 $1,983.90 / $2,089.83 / $3,738.65	Professional		$1,983.90	$2,089.83	$3,738.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,138.19 / $2,617.42 / $2,922.19	Professional		$2,138.19	$2,617.42	$2,922.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,983.90 / $2,834.19 / $3,962.97	Facility		$1,983.90	$2,834.19	$3,962.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,651.50 / $2,696.46 / $3,213.94	Professional		$2,651.50	$2,696.46	$3,213.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $2,154.83 / $2,710.91	Professional		$32.34	$2,154.83	$2,710.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,634.13 / $15,806.20 / $20,605.80	Facility		$7,634.13	$15,806.20	$20,605.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,295.84 / $3,295.84 / $3,615.23	Professional		$3,295.84	$3,295.84	$3,615.23
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 $1,690.44 / $2,361.36 / $3,468.25	Professional		$1,690.44	$2,361.36	$3,468.25