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 $1,327.71 / $1,465.93 / $1,777.86	Professional		$1,327.71	$1,465.93	$1,777.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,398.25 / $1,711.64 / $1,910.94	Professional		$1,398.25	$1,711.64	$1,910.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,059.25 / $1,725.74 / $2,042.89	Facility		$1,059.25	$1,725.74	$2,042.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,585.14 / $1,620.55 / $1,921.38	Professional		$1,585.14	$1,620.55	$1,921.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,371.41 / $1,725.32	Professional		$32.34	$1,371.41	$1,725.32
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 $1,526.83 / $1,526.83 / $1,620.55	Professional		$1,526.83	$1,526.83	$1,620.55
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 $1,027.47 / $1,469.28 / $2,100.76	Professional		$1,027.47	$1,469.28	$2,100.76