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 $1,787.13 / $2,021.12 / $4,691.89	Professional		$1,787.13	$2,021.12	$4,691.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,145.29 / $2,626.12 / $2,931.90	Professional		$2,145.29	$2,626.12	$2,931.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,858.17 / $2,481.01 / $6,005.62	Facility		$1,858.17	$2,481.01	$6,005.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,498.33 / $2,845.43 / $3,028.28	Professional		$2,498.33	$2,845.43	$3,028.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $2,373.44 / $2,644.69	Professional		$32.34	$2,373.44	$2,644.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,845.44 / $3,112.56 / $3,153.38	Professional		$2,845.44	$3,112.56	$3,153.38
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 $1,708.98 / $2,462.23 / $3,658.22	Professional		$1,708.98	$2,462.23	$3,658.22