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 $2,123.83 / $2,399.57 / $5,574.47	Professional		$2,123.83	$2,399.57	$5,574.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,549.23 / $3,120.59 / $3,483.94	Professional		$2,549.23	$3,120.59	$3,483.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,207.41 / $2,944.59 / $7,135.32	Facility		$2,207.41	$2,944.59	$7,135.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,966.93 / $3,378.64 / $3,596.28	Professional		$2,966.93	$3,378.64	$3,596.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $2,817.96 / $3,140.01	Professional		$32.34	$2,817.96	$3,140.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,378.64 / $3,697.08 / $3,743.92	Professional		$3,378.64	$3,697.08	$3,743.92
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 $1,987.82 / $2,792.50 / $4,075.93	Professional		$1,987.82	$2,792.50	$4,075.93