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 $2,198.62 / $3,045.35 / $6,418.64	Professional		$2,198.62	$3,045.35	$6,418.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,236.87 / $3,433.90 / $4,197.27	Professional		$2,236.87	$3,433.90	$4,197.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,697.63 / $4,256.89 / $7,060.50	Facility		$2,697.63	$4,256.89	$7,060.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,587.12 / $3,804.52 / $4,348.02	Professional		$3,587.12	$3,804.52	$4,348.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $3,019.66 / $3,798.93	Professional		$32.34	$3,019.66	$3,798.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,794.59 / $4,443.55 / $4,518.30	Professional		$3,794.59	$4,443.55	$4,518.30
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 $2,344.98 / $3,085.49 / $4,848.47	Professional		$2,344.98	$3,085.49	$4,848.47