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 $1,325.68 / $2,139.85 / $3,005.67	Professional		$1,325.68	$2,139.85	$3,005.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,091.75 / $1,711.13 / $2,327.39	Professional		$1,091.75	$1,711.13	$2,327.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,294.77 / $2,246.71 / $3,155.95	Facility		$1,294.77	$2,246.71	$3,155.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,702.04 / $2,177.03 / $2,638.82	Professional		$1,702.04	$2,177.03	$2,638.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,391.62	Professional		$32.34	$32.34	$2,391.62
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 $2,254.54 / $2,755.31 / $2,795.39	Professional		$2,254.54	$2,755.31	$2,795.39
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 $1,266.10 / $1,582.65 / $2,425.79	Professional		$1,266.10	$1,582.65	$2,425.79