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 $1,894.09 / $2,141.58 / $4,972.47	Professional		$1,894.09	$2,141.58	$4,972.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,273.82 / $2,783.46 / $3,107.56	Professional		$2,273.82	$2,783.46	$3,107.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,968.47 / $2,628.67 / $6,364.77	Facility		$1,968.47	$2,628.67	$6,364.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,646.70 / $3,014.91 / $3,208.12	Professional		$2,646.70	$3,014.91	$3,208.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $2,514.51 / $2,801.88	Professional		$32.34	$2,514.51	$2,801.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,014.91 / $3,297.18 / $3,341.18	Professional		$3,014.91	$3,297.18	$3,341.18
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 $1,772.72 / $2,461.96 / $3,878.13	Professional		$1,772.72	$2,461.96	$3,878.13