Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,045.96 / $1,045.96 / $1,045.96	Facility		$1,045.96	$1,045.96	$1,045.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,045.96 / $2,081.44 / $6,266.39	Professional		$1,045.96	$2,081.44	$6,266.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,821.49 / $2,821.49 / $2,821.49	Professional		$2,821.49	$2,821.49	$2,821.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,081.44 / $2,206.34 / $2,879.19	Facility		$2,081.44	$2,206.34	$2,879.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,359.75 / $1,359.75 / $1,359.75	Professional		$1,359.75	$1,359.75	$1,359.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $800.16 / $941.36 / $2,039.62	Professional		$800.16	$941.36	$2,039.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,503.09 / $5,105.35 / $5,371.13	Professional		$4,503.09	$5,105.35	$5,371.13
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 $1,683.53 / $3,144.24 / $5,626.56	Professional		$1,683.53	$3,144.24	$5,626.56