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 $2,577.67 / $3,627.14 / $7,710.81	Professional		$2,577.67	$3,627.14	$7,710.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,628.56 / $4,061.26 / $5,027.41	Professional		$2,628.56	$4,061.26	$5,027.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,680.40 / $4,642.74 / $8,173.46	Facility		$2,680.40	$4,642.74	$8,173.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,333.79 / $4,596.45 / $5,253.08	Professional		$4,333.79	$4,596.45	$5,253.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $3,646.42 / $4,587.43	Professional		$32.34	$3,646.42	$4,587.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,574.68 / $5,347.04 / $5,436.99	Professional		$4,574.68	$5,347.04	$5,436.99
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 $2,826.45 / $3,718.99 / $5,753.12	Professional		$2,826.45	$3,718.99	$5,753.12