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 $3,104.52 / $4,250.64 / $9,035.37	Professional		$3,104.52	$4,250.64	$9,035.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,212.99 / $4,907.26 / $5,917.58	Professional		$3,212.99	$4,907.26	$5,917.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,290.79 / $5,440.83 / $10,390.69	Facility		$3,290.79	$5,440.83	$10,390.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5,057.50 / $5,364.01 / $6,130.30	Professional		$5,057.50	$5,364.01	$6,130.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $4,261.01 / $5,360.63	Professional		$32.34	$4,261.01	$5,360.63
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5,328.17 / $6,261.85 / $6,367.19	Professional		$5,328.17	$6,261.85	$6,367.19
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 $3,369.21 / $4,552.93 / $6,829.46	Professional		$3,369.21	$4,552.93	$6,829.46