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 $2,943.48 / $3,199.17 / $5,135.02	Professional		$2,943.48	$3,199.17	$5,135.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,940.96 / $3,600.13 / $4,019.31	Professional		$2,940.96	$3,600.13	$4,019.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,055.79 / $3,767.65 / $5,443.12	Facility		$2,055.79	$3,767.65	$5,443.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,350.14 / $3,553.18 / $4,060.78	Professional		$3,350.14	$3,553.18	$4,060.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $78.00 / $3,644.36	Professional		$30.00	$78.00	$3,644.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,942.32 / $4,184.95 / $4,265.97	Professional		$3,942.32	$4,184.95	$4,265.97
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 $1,846.11 / $2,871.78 / $4,620.89	Professional		$1,846.11	$2,871.78	$4,620.89