Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12,981.90 / $12,981.90 / $18,701.80	Facility		$12,981.90	$12,981.90	$18,701.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,035.10 / $14,026.35 / $14,026.35	Professional		$5,035.10	$14,026.35	$14,026.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,610.54 / $14,961.44 / $28,052.70	Facility		$5,610.54	$14,961.44	$28,052.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,135.04 / $5,361.92 / $12,295.08	Professional		$3,135.04	$5,361.92	$12,295.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8,654.62 / $14,026.35 / $15,428.99	Facility		$8,654.62	$14,026.35	$15,428.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7,193.00 / $7,336.86 / $8,631.60	Professional		$7,193.00	$7,336.86	$8,631.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $14,026.35 / $14,026.35 / $14,026.35	Professional		$14,026.35	$14,026.35	$14,026.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,789.50 / $15,464.95 / $25,894.80	Facility		$10,789.50	$15,464.95	$25,894.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12,353.53 / $12,652.07 / $12,652.07	Professional		$12,353.53	$12,652.07	$12,652.07
United Facility/Professional Professional Modifier Low / Median / High Price $3,021.06 / $3,021.06 / $8,271.95	Professional		$3,021.06	$3,021.06	$8,271.95