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 $2,622.34 / $3,042.14 / $6,929.65	Professional		$2,622.34	$3,042.14	$6,929.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,167.41 / $3,877.33 / $4,328.79	Professional		$3,167.41	$3,877.33	$4,328.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,799.21 / $3,085.33 / $8,869.95	Facility		$1,799.21	$3,085.33	$8,869.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,715.21 / $3,940.37 / $4,503.28	Professional		$3,715.21	$3,940.37	$4,503.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,528.33	Professional		$32.34	$32.34	$3,528.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,213.68 / $4,618.85 / $4,678.88	Professional		$4,213.68	$4,618.85	$4,678.88
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 $1,803.97 / $2,986.66 / $5,009.81	Professional		$1,803.97	$2,986.66	$5,009.81