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 $2,672.09 / $3,875.14 / $8,050.25	Professional		$2,672.09	$3,875.14	$8,050.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,499.67 / $4,236.92 / $5,259.27	Professional		$2,499.67	$4,236.92	$5,259.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,647.58 / $4,960.18 / $8,533.27	Facility		$2,647.58	$4,960.18	$8,533.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,365.80 / $4,630.39 / $5,291.88	Professional		$4,365.80	$4,630.39	$5,291.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $4,750.51	Professional		$32.34	$32.34	$4,750.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,642.10 / $5,461.30 / $5,564.94	Professional		$4,642.10	$5,461.30	$5,564.94
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 $2,972.12 / $3,938.39 / $5,841.55	Professional		$2,972.12	$3,938.39	$5,841.55