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 $2,266.44 / $3,118.92 / $5,001.97	Professional		$2,266.44	$3,118.92	$5,001.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,864.94 / $3,507.07 / $3,915.42	Professional		$2,864.94	$3,507.07	$3,915.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,059.07 / $3,674.32 / $5,302.10	Facility		$2,059.07	$3,674.32	$5,302.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,263.68 / $3,461.48 / $3,955.98	Professional		$3,263.68	$3,461.48	$3,955.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $3,185.89	Professional		$30.00	$30.00	$3,185.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,840.90 / $4,076.98 / $4,157.50	Professional		$3,840.90	$4,076.98	$4,157.50
United Facility/Professional Facility Modifier Low / Median / High Price $3,700.00 / $15,298.00 / $26,104.00	Facility		$3,700.00	$15,298.00	$26,104.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,123.15 / $3,024.27 / $4,505.56	Professional		$2,123.15	$3,024.27	$4,505.56