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 $1,284.38 / $2,076.42 / $2,917.80	Professional		$1,284.38	$2,076.42	$2,917.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,059.11 / $1,660.42 / $2,258.42	Professional		$1,059.11	$1,660.42	$2,258.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,256.52 / $2,167.44 / $3,063.69	Facility		$1,256.52	$2,167.44	$3,063.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,651.97 / $2,112.98 / $2,561.19	Professional		$1,651.97	$2,112.98	$2,561.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,082.80	Professional		$32.34	$32.34	$2,082.80
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 $2,187.44 / $2,672.67 / $2,712.00	Professional		$2,187.44	$2,672.67	$2,712.00
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 $1,254.95 / $1,662.91 / $2,370.48	Professional		$1,254.95	$1,662.91	$2,370.48