Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,805.00 / $6,899.00	Facility		$4,500.00	$4,805.00	$6,899.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,132.94 / $2,345.33 / $2,851.57	Professional		$2,132.94	$2,345.33	$2,851.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,217.44 / $2,714.46 / $3,030.52	Professional		$2,217.44	$2,714.46	$3,030.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,640.34 / $2,749.25 / $3,124.34	Facility		$1,640.34	$2,749.25	$3,124.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,542.09 / $2,593.39 / $3,081.32	Professional		$2,542.09	$2,593.39	$3,081.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $2,195.61 / $2,762.21	Professional		$32.34	$2,195.61	$2,762.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,660.78 / $14,097.25 / $17,807.80	Facility		$9,660.78	$14,097.25	$17,807.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,439.34 / $2,439.34 / $2,593.39	Professional		$2,439.34	$2,439.34	$2,593.39
United Facility/Professional Facility Modifier Low / Median / High Price $10,120.00 / $22,317.00 / $27,159.00	Facility		$10,120.00	$22,317.00	$27,159.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,526.74 / $2,152.80 / $3,218.44	Professional		$1,526.74	$2,152.80	$3,218.44