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 $1,515.68 / $2,047.22 / $4,657.54	Professional		$1,515.68	$2,047.22	$4,657.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,136.96 / $2,615.92 / $2,920.52	Professional		$2,136.96	$2,615.92	$2,920.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,849.00 / $2,527.12 / $5,961.65	Facility		$1,849.00	$2,527.12	$5,961.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,494.60 / $2,836.52 / $3,023.76	Professional		$2,494.60	$2,836.52	$3,023.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $2,375.26 / $2,646.72	Professional		$32.34	$2,375.26	$2,646.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,836.52 / $3,102.56 / $3,140.50	Professional		$2,836.52	$3,102.56	$3,140.50
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 $1,313.38 / $2,160.46 / $3,366.27	Professional		$1,313.38	$2,160.46	$3,366.27