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 $2,497.71 / $2,899.20 / $6,602.43	Professional		$2,497.71	$2,899.20	$6,602.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,017.66 / $3,694.01 / $4,124.13	Professional		$3,017.66	$3,694.01	$4,124.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,740.61 / $2,856.46 / $8,451.11	Facility		$1,740.61	$2,856.46	$8,451.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,540.69 / $3,755.27 / $4,291.74	Professional		$3,540.69	$3,755.27	$4,291.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $3,362.99 / $3,747.33	Professional		$32.34	$3,362.99	$3,747.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,015.86 / $4,402.22 / $4,459.21	Professional		$4,015.86	$4,402.22	$4,459.21
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 $1,621.30 / $2,841.30 / $4,771.52	Professional		$1,621.30	$2,841.30	$4,771.52