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 $1,471.11 / $1,617.89 / $1,954.70	Professional		$1,471.11	$1,617.89	$1,954.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,530.42 / $1,873.44 / $2,091.57	Professional		$1,530.42	$1,873.44	$2,091.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,250.46 / $1,889.15 / $2,158.17	Facility		$1,250.46	$1,889.15	$2,158.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,739.38 / $1,781.25 / $2,108.34	Professional		$1,739.38	$1,781.25	$2,108.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,502.74 / $1,890.54	Professional		$32.34	$1,502.74	$1,890.54
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 $1,680.28 / $1,680.28 / $1,781.25	Professional		$1,680.28	$1,680.28	$1,781.25
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 $1,050.26 / $1,608.66 / $2,285.86	Professional		$1,050.26	$1,608.66	$2,285.86