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 $2,906.43 / $3,389.88 / $7,728.90	Professional		$2,906.43	$3,389.88	$7,728.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,558.12 / $4,355.60 / $4,862.76	Professional		$3,558.12	$4,355.60	$4,862.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,460.44 / $4,174.77 / $9,892.99	Facility		$2,460.44	$4,174.77	$9,892.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,093.62 / $4,694.29 / $4,961.96	Professional		$4,093.62	$4,694.29	$4,961.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $3,914.33 / $4,361.68	Professional		$32.34	$3,914.33	$4,361.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,694.29 / $5,090.72 / $5,172.46	Professional		$4,694.29	$5,090.72	$5,172.46
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 $2,452.89 / $3,602.26 / $5,599.58	Professional		$2,452.89	$3,602.26	$5,599.58