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 $2,289.75 / $2,334.46 / $4,082.43	Professional		$2,289.75	$2,334.46	$4,082.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,529.02 / $3,095.86 / $3,456.33	Professional		$2,529.02	$3,095.86	$3,456.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,032.17 / $3,582.44 / $4,327.38	Facility		$2,032.17	$3,582.44	$4,327.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,867.67 / $3,041.47 / $3,475.96	Professional		$2,867.67	$3,041.47	$3,475.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $2,510.13 / $3,157.91	Professional		$32.34	$2,510.13	$3,157.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,731.41 / $2,731.41 / $3,364.79	Professional		$2,731.41	$2,731.41	$3,364.79
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 $1,878.46 / $2,392.21 / $3,851.69	Professional		$1,878.46	$2,392.21	$3,851.69