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 $1,747.46 / $1,913.81 / $2,307.25	Professional		$1,747.46	$1,913.81	$2,307.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,793.71 / $2,182.17 / $2,451.40	Professional		$1,793.71	$2,182.17	$2,451.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,299.35 / $2,236.75 / $2,497.54	Facility		$1,299.35	$2,236.75	$2,497.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,058.54 / $2,098.31 / $2,495.19	Professional		$2,058.54	$2,098.31	$2,495.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,775.22 / $2,233.34	Professional		$32.34	$1,775.22	$2,233.34
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 $1,977.46 / $1,977.46 / $2,098.31	Professional		$1,977.46	$1,977.46	$2,098.31
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 $1,361.53 / $1,868.85 / $2,651.42	Professional		$1,361.53	$1,868.85	$2,651.42