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 $1,332.71 / $2,116.92 / $3,020.29	Professional		$1,332.71	$2,116.92	$3,020.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,097.44 / $1,720.08 / $2,339.57	Professional		$1,097.44	$1,720.08	$2,339.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,295.26 / $2,249.25 / $3,171.30	Facility		$1,295.26	$2,249.25	$3,171.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,711.64 / $2,189.30 / $2,653.70	Professional		$1,711.64	$2,189.30	$2,653.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,404.64	Professional		$32.34	$32.34	$2,404.64
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 $2,266.17 / $2,768.64 / $2,809.63	Professional		$2,266.17	$2,768.64	$2,809.63
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 $1,304.27 / $1,630.35 / $2,463.63	Professional		$1,304.27	$1,630.35	$2,463.63