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 $1,278.75 / $2,037.84 / $2,861.90	Professional		$1,278.75	$2,037.84	$2,861.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,041.60 / $1,637.88 / $2,162.87	Professional		$1,041.60	$1,637.88	$2,162.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,176.15 / $2,068.00 / $3,005.00	Facility		$1,176.15	$2,068.00	$3,005.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,629.85 / $2,091.96 / $2,526.90	Professional		$1,629.85	$2,091.96	$2,526.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,293.48	Professional		$32.34	$32.34	$2,293.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,412.57 / $9,164.31 / $11,714.67	Facility		$6,412.57	$9,164.31	$11,714.67
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,149.63 / $2,624.01 / $2,659.12	Professional		$2,149.63	$2,624.01	$2,659.12
United Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $9,360.00 / $17,870.00	Facility		$1,400.00	$9,360.00	$17,870.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,161.59 / $1,626.20 / $2,388.71	Professional		$1,161.59	$1,626.20	$2,388.71