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 $2,341.85 / $2,773.56 / $6,445.24	Professional		$2,341.85	$2,773.56	$6,445.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,948.20 / $3,608.99 / $4,029.20	Professional		$2,948.20	$3,608.99	$4,029.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,550.28 / $4,911.27 / $8,249.91	Facility		$2,550.28	$4,911.27	$8,249.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,428.07 / $3,905.60 / $4,155.24	Professional		$3,428.07	$3,905.60	$4,155.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $3,256.26 / $3,628.40	Professional		$32.34	$3,256.26	$3,628.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,905.60 / $4,273.60 / $4,327.67	Professional		$3,905.60	$4,273.60	$4,327.67
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 $2,206.54 / $3,029.41 / $4,718.22	Professional		$2,206.54	$3,029.41	$4,718.22