Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,422.00 / $4,500.00 / $8,622.00	Facility		$3,422.00	$4,500.00	$8,622.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,055.19 / $2,017.44 / $2,924.72	Professional		$1,055.19	$2,017.44	$2,924.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,004.36 / $1,625.84 / $2,211.38	Professional		$1,004.36	$1,625.84	$2,211.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,126.74 / $2,017.44 / $3,070.96	Facility		$1,126.74	$2,017.44	$3,070.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,563.09 / $1,999.31 / $2,423.40	Professional		$1,563.09	$1,999.31	$2,423.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,197.14	Professional		$32.34	$32.34	$2,197.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,398.53 / $9,164.31 / $11,714.67	Facility		$4,398.53	$9,164.31	$11,714.67
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,073.17 / $2,529.37 / $2,568.94	Professional		$2,073.17	$2,529.37	$2,568.94
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 $1,251.72 / $1,641.29 / $2,414.62	Professional		$1,251.72	$1,641.29	$2,414.62