Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $5,519.00	Facility		$4,500.00	$4,500.00	$5,519.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,471.48 / $2,742.48 / $3,375.29	Professional		$2,471.48	$2,742.48	$3,375.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,643.15 / $3,235.56 / $3,612.30	Professional		$2,643.15	$3,235.56	$3,612.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,026.15 / $3,292.96 / $3,898.22	Facility		$2,026.15	$3,292.96	$3,898.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,013.91 / $3,076.76 / $3,653.22	Professional		$3,013.91	$3,076.76	$3,653.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $2,611.21 / $3,285.09	Professional		$32.34	$2,611.21	$3,285.09
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 $2,893.56 / $2,893.56 / $3,076.76	Professional		$2,893.56	$2,893.56	$3,076.76
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 $1,564.85 / $2,463.96 / $3,973.20	Professional		$1,564.85	$2,463.96	$3,973.20