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 $2,432.61 / $2,822.96 / $6,429.28	Professional		$2,432.61	$2,822.96	$6,429.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,938.28 / $3,596.84 / $4,015.64	Professional		$2,938.28	$3,596.84	$4,015.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,001.40 / $3,251.22 / $8,229.48	Facility		$2,001.40	$3,251.22	$8,229.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,448.35 / $3,657.34 / $4,179.82	Professional		$3,448.35	$3,657.34	$4,179.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $3,274.95 / $3,649.23	Professional		$32.34	$3,274.95	$3,649.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,910.51 / $4,286.26 / $4,341.91	Professional		$3,910.51	$4,286.26	$4,341.91
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 $1,812.27 / $2,824.65 / $4,727.50	Professional		$1,812.27	$2,824.65	$4,727.50