Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,628.00 / $4,500.00 / $7,205.00	Facility		$1,628.00	$4,500.00	$7,205.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,162.52 / $1,727.01 / $2,823.61	Professional		$1,162.52	$1,727.01	$2,823.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,110.38 / $1,110.38 / $1,113.50	Facility		$1,110.38	$1,110.38	$1,113.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,295.27 / $1,773.00 / $2,053.17	Professional		$1,295.27	$1,773.00	$2,053.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,120.72 / $2,066.37 / $3,247.15	Facility		$1,120.72	$2,066.37	$3,247.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,900.04 / $2,072.77 / $2,723.75	Professional		$1,900.04	$2,072.77	$2,723.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,621.07 / $2,039.41	Professional		$32.34	$1,621.07	$2,039.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,480.58 / $4,907.22 / $6,923.77	Facility		$3,480.58	$4,907.22	$6,923.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,002.10 / $2,355.41 / $2,723.74	Professional		$2,002.10	$2,355.41	$2,723.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,500.00 / $9,360.00 / $17,870.00	Facility		$1,500.00	$9,360.00	$17,870.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,219.42 / $1,700.77 / $2,382.11	Professional		$1,219.42	$1,700.77	$2,382.11