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 $1,775.73 / $2,427.23 / $4,338.67	Professional		$1,775.73	$2,427.23	$4,338.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,480.05 / $3,035.92 / $3,389.41	Professional		$2,480.05	$3,035.92	$3,389.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,231.96 / $3,287.69 / $4,598.99	Facility		$2,231.96	$3,287.69	$4,598.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,078.49 / $3,095.82 / $3,731.50	Professional		$3,078.49	$3,095.82	$3,731.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $2,827.13 / $3,150.23	Professional		$32.34	$2,827.13	$3,150.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,828.38 / $3,828.38 / $4,199.58	Professional		$3,828.38	$3,828.38	$4,199.58
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 $1,957.50 / $2,468.48 / $4,013.76	Professional		$1,957.50	$2,468.48	$4,013.76