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 $2,690.73 / $2,922.41 / $4,686.05	Professional		$2,690.73	$2,922.41	$4,686.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,682.32 / $3,283.51 / $3,665.83	Professional		$2,682.32	$3,283.51	$3,665.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,902.36 / $3,444.13 / $4,967.21	Facility		$1,902.36	$3,444.13	$4,967.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,060.87 / $3,246.37 / $3,710.14	Professional		$3,060.87	$3,246.37	$3,710.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $78.00 / $3,328.94	Professional		$30.00	$78.00	$3,328.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,599.42 / $3,823.04 / $3,897.14	Professional		$3,599.42	$3,823.04	$3,897.14
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 $2,092.27 / $2,596.96 / $4,212.83	Professional		$2,092.27	$2,596.96	$4,212.83