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 $1,746.28 / $2,347.76 / $5,355.72	Professional		$1,746.28	$2,347.76	$5,355.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,459.83 / $3,011.16 / $3,361.77	Professional		$2,459.83	$3,011.16	$3,361.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,116.96 / $2,893.68 / $6,855.32	Facility		$2,116.96	$2,893.68	$6,855.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,853.79 / $3,253.72 / $3,459.14	Professional		$2,853.79	$3,253.72	$3,459.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $2,715.86 / $3,026.24	Professional		$32.34	$2,715.86	$3,026.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,253.72 / $3,553.11 / $3,602.89	Professional		$3,253.72	$3,553.11	$3,602.89
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 $1,779.41 / $2,506.46 / $3,984.97	Professional		$1,779.41	$2,506.46	$3,984.97