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 $3,057.47 / $3,293.68 / $5,992.99	Professional		$3,057.47	$3,293.68	$5,992.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,404.32 / $4,167.35 / $4,652.58	Professional		$3,404.32	$4,167.35	$4,652.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,790.68 / $4,269.13 / $6,352.57	Facility		$2,790.68	$4,269.13	$6,352.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,894.00 / $4,130.00 / $4,750.20	Professional		$3,894.00	$4,130.00	$4,750.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $3,375.82 / $4,247.00	Professional		$32.34	$3,375.82	$4,247.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,872.12 / $4,872.12 / $5,767.89	Professional		$4,872.12	$4,872.12	$5,767.89
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 $2,529.52 / $3,403.53 / $5,389.60	Professional		$2,529.52	$3,403.53	$5,389.60