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 $2,105.91 / $2,909.40 / $6,166.67	Professional		$2,105.91	$2,909.40	$6,166.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,095.17 / $3,283.58 / $4,028.46	Professional		$2,095.17	$3,283.58	$4,028.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,120.26 / $3,724.03 / $6,536.67	Facility		$2,120.26	$3,724.03	$6,536.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,445.68 / $3,654.51 / $4,176.58	Professional		$3,445.68	$3,654.51	$4,176.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,647.16	Professional		$32.34	$32.34	$3,647.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,643.89 / $4,267.10 / $4,338.89	Professional		$3,643.89	$4,267.10	$4,338.89
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 $2,261.15 / $2,996.63 / $4,655.35	Professional		$2,261.15	$2,996.63	$4,655.35