Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,407.00 / $4,500.00 / $7,045.00	Facility		$1,407.00	$4,500.00	$7,045.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,286.07 / $1,630.80 / $3,121.60	Professional		$1,286.07	$1,630.80	$3,121.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,709.09 / $3,709.09 / $3,719.52	Facility		$3,709.09	$3,709.09	$3,719.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,433.29 / $1,975.24 / $2,273.59	Professional		$1,433.29	$1,975.24	$2,273.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,236.35 / $2,194.87 / $3,589.84	Facility		$1,236.35	$2,194.87	$3,589.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,096.96 / $2,287.60 / $3,008.69	Professional		$2,096.96	$2,287.60	$3,008.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,789.38 / $2,251.16	Professional		$32.34	$1,789.38	$2,251.16
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 $2,209.44 / $2,599.35 / $3,008.69	Professional		$2,209.44	$2,599.35	$3,008.69
United Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $10,120.00 / $27,159.00	Facility		$2,100.00	$10,120.00	$27,159.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,180.07 / $1,737.33 / $2,524.57	Professional		$1,180.07	$1,737.33	$2,524.57