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 $2,145.33 / $2,973.45 / $6,262.87	Professional		$2,145.33	$2,973.45	$6,262.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,180.89 / $3,331.75 / $4,095.98	Professional		$2,180.89	$3,331.75	$4,095.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,630.81 / $4,152.30 / $6,889.16	Facility		$2,630.81	$4,152.30	$6,889.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,500.66 / $3,712.82 / $4,243.22	Professional		$3,500.66	$3,712.82	$4,243.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,707.11	Professional		$32.34	$32.34	$3,707.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,702.24 / $4,335.02 / $4,407.95	Professional		$3,702.24	$4,335.02	$4,407.95
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 $2,306.85 / $3,051.85 / $4,730.09	Professional		$2,306.85	$3,051.85	$4,730.09