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 $2,095.04 / $2,804.06 / $6,397.89	Professional		$2,095.04	$2,804.06	$6,397.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,937.84 / $3,596.30 / $4,015.04	Professional		$2,937.84	$3,596.30	$4,015.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,496.44 / $3,455.97 / $8,189.30	Facility		$2,496.44	$3,455.97	$8,189.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,412.60 / $3,889.00 / $4,136.47	Professional		$3,412.60	$3,889.00	$4,136.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $3,248.61 / $3,619.88	Professional		$32.34	$3,248.61	$3,619.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,889.00 / $4,251.60 / $4,305.97	Professional		$3,889.00	$4,251.60	$4,305.97
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 $2,186.46 / $2,943.01 / $4,636.09	Professional		$2,186.46	$2,943.01	$4,636.09