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 $2,113.86 / $2,932.48 / $6,166.86	Professional		$2,113.86	$2,932.48	$6,166.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,845.38 / $3,278.70 / $4,035.49	Professional		$1,845.38	$3,278.70	$4,035.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,056.44 / $3,753.57 / $6,536.87	Facility		$2,056.44	$3,753.57	$6,536.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,441.95 / $3,650.55 / $4,172.06	Professional		$3,441.95	$3,650.55	$4,172.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $2,897.71 / $3,645.51	Professional		$32.34	$2,897.71	$3,645.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,642.19 / $4,266.45 / $4,338.22	Professional		$3,642.19	$4,266.45	$4,338.22
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 $2,171.21 / $2,874.09 / $4,658.30	Professional		$2,171.21	$2,874.09	$4,658.30