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 $2,573.69 / $2,983.96 / $6,827.52	Professional		$2,573.69	$2,983.96	$6,827.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,139.03 / $3,842.60 / $4,290.01	Professional		$3,139.03	$3,842.60	$4,290.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,388.48 / $3,671.73 / $8,739.23	Facility		$2,388.48	$3,671.73	$8,739.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,626.07 / $4,142.93 / $4,395.24	Professional		$3,626.07	$4,142.93	$4,395.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,449.60	Professional		$32.34	$32.34	$3,449.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,142.93 / $4,520.87 / $4,587.35	Professional		$4,142.93	$4,520.87	$4,587.35
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 $2,420.17 / $3,190.51 / $4,962.43	Professional		$2,420.17	$3,190.51	$4,962.43