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 $2,197.21 / $2,313.88 / $4,134.18	Professional		$2,197.21	$2,313.88	$4,134.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,364.54 / $2,894.51 / $3,231.54	Professional		$2,364.54	$2,894.51	$3,231.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,096.98 / $3,114.05 / $4,382.24	Facility		$2,096.98	$3,114.05	$4,382.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,933.30 / $2,933.30 / $3,555.52	Professional		$2,933.30	$2,933.30	$3,555.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $2,385.19 / $3,000.74	Professional		$32.34	$2,385.19	$3,000.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,803.94 / $7,766.93 / $9,755.03	Facility		$5,803.94	$7,766.93	$9,755.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,647.09 / $3,647.09 / $4,000.10	Professional		$3,647.09	$3,647.09	$4,000.10
United Facility/Professional Facility Modifier Low / Median / High Price $10,120.00 / $22,317.00 / $27,159.00	Facility		$10,120.00	$22,317.00	$27,159.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,777.27 / $2,606.30 / $3,882.87	Professional		$1,777.27	$2,606.30	$3,882.87