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 $2,118.39 / $2,394.11 / $5,560.80	Professional		$2,118.39	$2,394.11	$5,560.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,543.40 / $3,113.47 / $3,475.99	Professional		$2,543.40	$3,113.47	$3,475.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,200.84 / $2,937.82 / $7,117.82	Facility		$2,200.84	$2,937.82	$7,117.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,958.93 / $3,370.64 / $3,586.58	Professional		$2,958.93	$3,370.64	$3,586.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $2,811.04 / $3,132.30	Professional		$32.34	$2,811.04	$3,132.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,370.64 / $3,689.08 / $3,734.42	Professional		$3,370.64	$3,689.08	$3,734.42
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 $1,983.12 / $2,882.71 / $4,532.03	Professional		$1,983.12	$2,882.71	$4,532.03