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 $1,161.28 / $1,470.88 / $2,758.53	Professional		$1,161.28	$1,470.88	$2,758.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,043.28 / $1,677.93 / $1,992.54	Professional		$1,043.28	$1,677.93	$1,992.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,056.88 / $1,819.86 / $3,172.31	Facility		$1,056.88	$1,819.86	$3,172.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,958.20 / $2,076.88 / $2,673.16	Professional		$1,958.20	$2,076.88	$2,673.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,597.10 / $2,009.26	Professional		$32.34	$1,597.10	$2,009.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,403.52 / $4,867.04 / $5,994.73	Facility		$3,403.52	$4,867.04	$5,994.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,067.82 / $2,432.73 / $2,673.15	Professional		$2,067.82	$2,432.73	$2,673.15
United Facility/Professional Facility Modifier Low / Median / High Price $675.00 / $3,450.00 / $7,609.00	Facility		$675.00	$3,450.00	$7,609.00
United Facility/Professional Professional Modifier Low / Median / High Price $960.22 / $1,538.69 / $2,326.78	Professional		$960.22	$1,538.69	$2,326.78