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 $2,064.30 / $2,407.27 / $5,486.35	Professional		$2,064.30	$2,407.27	$5,486.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,517.61 / $3,081.89 / $3,440.73	Professional		$2,517.61	$3,081.89	$3,440.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,173.07 / $2,969.16 / $7,022.53	Facility		$2,173.07	$2,969.16	$7,022.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,931.18 / $3,337.10 / $3,552.94	Professional		$2,931.18	$3,337.10	$3,552.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $2,790.67 / $3,109.61	Professional		$32.34	$2,790.67	$3,109.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,337.10 / $3,647.75 / $3,695.10	Professional		$3,337.10	$3,647.75	$3,695.10
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 $1,848.24 / $2,620.36 / $4,068.14	Professional		$1,848.24	$2,620.36	$4,068.14