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 $2,661.69 / $2,804.19 / $5,016.05	Professional		$2,661.69	$2,804.19	$5,016.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,870.80 / $3,514.24 / $3,923.43	Professional		$2,870.80	$3,514.24	$3,923.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,661.69 / $3,806.20 / $5,317.01	Facility		$2,661.69	$3,806.20	$5,317.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,562.04 / $3,777.92 / $4,317.62	Professional		$3,562.04	$3,777.92	$4,317.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $2,893.54 / $3,640.26	Professional		$32.34	$2,893.54	$3,640.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,427.56 / $4,427.56 / $4,851.88	Professional		$4,427.56	$4,427.56	$4,851.88
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 $1,820.07 / $2,911.50 / $4,678.14	Professional		$1,820.07	$2,911.50	$4,678.14