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 $2,479.17 / $2,863.86 / $6,371.22	Professional		$2,479.17	$2,863.86	$6,371.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,665.14 / $3,262.49 / $3,642.36	Professional		$2,665.14	$3,262.49	$3,642.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,672.33 / $3,821.81 / $8,155.16	Facility		$1,672.33	$3,821.81	$8,155.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,976.39 / $1,976.39 / $1,976.39	Professional		$1,976.39	$1,976.39	$1,976.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $1,368.27 / $3,500.00	Professional		$30.00	$1,368.27	$3,500.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,487.00 / $4,737.47 / $4,737.47	Professional		$4,487.00	$4,737.47	$4,737.47
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 $1,680.93 / $2,468.56 / $4,290.74	Professional		$1,680.93	$2,468.56	$4,290.74