Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,897.00 / $4,500.00 / $7,761.00	Facility		$2,897.00	$4,500.00	$7,761.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,181.14 / $3,024.37 / $6,369.04	Professional		$2,181.14	$3,024.37	$6,369.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,245.60 / $3,376.73 / $4,168.16	Professional		$2,245.60	$3,376.73	$4,168.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,640.01 / $4,145.38 / $7,005.94	Facility		$2,640.01	$4,145.38	$7,005.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,555.09 / $3,770.55 / $4,309.20	Professional		$3,555.09	$3,770.55	$4,309.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $2,992.31 / $3,764.51	Professional		$32.34	$2,992.31	$3,764.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,757.20 / $4,404.27 / $4,478.35	Professional		$3,757.20	$4,404.27	$4,478.35
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 $2,195.57 / $2,967.36 / $4,669.76	Professional		$2,195.57	$2,967.36	$4,669.76