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 $1,615.01 / $2,168.26 / $4,935.63	Professional		$1,615.01	$2,168.26	$4,935.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,264.61 / $2,772.18 / $3,094.97	Professional		$2,264.61	$2,772.18	$3,094.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,957.43 / $2,675.83 / $6,317.61	Facility		$1,957.43	$2,675.83	$6,317.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,640.83 / $3,004.32 / $3,201.00	Professional		$2,640.83	$3,004.32	$3,201.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $2,514.52 / $2,801.90	Professional		$32.34	$2,514.52	$2,801.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,004.31 / $3,287.84 / $3,326.27	Professional		$3,004.31	$3,287.84	$3,326.27
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 $1,740.60 / $2,439.50 / $3,569.02	Professional		$1,740.60	$2,439.50	$3,569.02