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 $1,681.75 / $2,274.04 / $5,189.29	Professional		$1,681.75	$2,274.04	$5,189.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,383.54 / $2,917.77 / $3,257.51	Professional		$2,383.54	$2,917.77	$3,257.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,032.52 / $2,802.28 / $6,642.29	Facility		$2,032.52	$2,802.28	$6,642.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,767.86 / $3,153.33 / $3,354.98	Professional		$2,767.86	$3,153.33	$3,354.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $2,634.19 / $2,935.24	Professional		$32.34	$2,634.19	$2,935.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,153.32 / $3,446.47 / $3,491.02	Professional		$3,153.32	$3,446.47	$3,491.02
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 $1,794.92 / $2,413.81 / $3,764.38	Professional		$1,794.92	$2,413.81	$3,764.38