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 $2,673.78 / $3,103.09 / $7,106.96	Professional		$2,673.78	$3,103.09	$7,106.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,262.66 / $3,993.93 / $4,458.97	Professional		$3,262.66	$3,993.93	$4,458.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,031.60 / $3,818.09 / $9,096.91	Facility		$2,031.60	$3,818.09	$9,096.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,759.51 / $4,314.13 / $4,556.97	Professional		$3,759.51	$4,314.13	$4,556.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $3,594.96 / $4,005.81	Professional		$32.34	$3,594.96	$4,005.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,314.13 / $4,676.83 / $4,752.78	Professional		$4,314.13	$4,676.83	$4,752.78
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 $1,916.47 / $3,247.20 / $5,157.05	Professional		$1,916.47	$3,247.20	$5,157.05