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 $2,058.83 / $2,592.31 / $4,637.72	Professional		$2,058.83	$2,592.31	$4,637.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,656.18 / $3,251.52 / $3,630.12	Professional		$2,656.18	$3,251.52	$3,630.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,379.78 / $3,522.07 / $4,915.97	Facility		$2,379.78	$3,522.07	$4,915.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,289.84 / $3,400.80 / $3,987.68	Professional		$3,289.84	$3,400.80	$3,987.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $3,015.99 / $3,360.67	Professional		$32.34	$3,015.99	$3,360.67
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,090.31 / $4,090.31 / $4,484.66	Professional		$4,090.31	$4,090.31	$4,484.66
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 $1,985.60 / $2,736.01 / $4,438.41	Professional		$1,985.60	$2,736.01	$4,438.41