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 $2,955.50 / $4,084.64 / $8,681.25	Professional		$2,955.50	$4,084.64	$8,681.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,173.03 / $4,639.13 / $5,672.09	Professional		$2,173.03	$4,639.13	$5,672.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,150.21 / $5,228.34 / $9,202.12	Facility		$2,150.21	$5,228.34	$9,202.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,850.42 / $5,144.39 / $5,879.30	Professional		$4,850.42	$5,144.39	$5,879.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $4,606.60	Professional		$32.34	$32.34	$4,606.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5,129.32 / $5,902.03 / $6,034.49	Professional		$5,129.32	$5,902.03	$6,034.49
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 $2,923.43 / $4,225.92 / $6,569.71	Professional		$2,923.43	$4,225.92	$6,569.71