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 $2,463.10 / $2,726.67 / $3,348.89	Professional		$2,463.10	$2,726.67	$3,348.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,614.98 / $3,201.09 / $3,573.81	Professional		$2,614.98	$3,201.09	$3,573.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,977.81 / $3,258.96 / $3,789.71	Facility		$1,977.81	$3,258.96	$3,789.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,987.75 / $3,052.54 / $3,621.52	Professional		$2,987.75	$3,052.54	$3,621.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $2,586.53 / $3,254.02	Professional		$32.34	$2,586.53	$3,254.02
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 $2,872.58 / $2,872.58 / $3,052.54	Professional		$2,872.58	$2,872.58	$3,052.54
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 $1,926.46 / $2,719.99 / $3,875.68	Professional		$1,926.46	$2,719.99	$3,875.68