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 $2,595.46 / $2,734.44 / $4,890.26	Professional		$2,595.46	$2,734.44	$4,890.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,799.16 / $3,426.55 / $3,825.52	Professional		$2,799.16	$3,426.55	$3,825.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,595.46 / $3,710.01 / $5,183.68	Facility		$2,595.46	$3,710.01	$5,183.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,466.50 / $3,676.59 / $4,201.82	Professional		$3,466.50	$3,676.59	$4,201.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $2,816.15 / $3,542.90	Professional		$32.34	$2,816.15	$3,542.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,310.92 / $4,310.92 / $4,728.89	Professional		$4,310.92	$4,310.92	$4,728.89
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 $2,217.35 / $3,082.59 / $4,557.60	Professional		$2,217.35	$3,082.59	$4,557.60