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 $2,769.26 / $3,784.84 / $8,102.73	Professional		$2,769.26	$3,784.84	$8,102.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,096.50 / $4,402.10 / $5,308.42	Professional		$2,096.50	$4,402.10	$5,308.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,456.06 / $4,844.60 / $8,588.89	Facility		$2,456.06	$4,844.60	$8,588.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,515.24 / $4,788.89 / $5,473.02	Professional		$4,515.24	$4,788.89	$5,473.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $3,806.89 / $4,789.32	Professional		$32.34	$3,806.89	$4,789.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,780.89 / $5,593.39 / $5,687.48	Professional		$4,780.89	$5,593.39	$5,687.48
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 $2,815.54 / $4,017.60 / $6,256.09	Professional		$2,815.54	$4,017.60	$6,256.09