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 $2,114.13 / $2,798.91 / $4,849.60	Professional		$2,114.13	$2,798.91	$4,849.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,813.79 / $3,444.45 / $3,845.51	Professional		$2,813.79	$3,444.45	$3,845.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,175.79 / $3,451.82 / $5,140.58	Facility		$2,175.79	$3,451.82	$5,140.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,372.02 / $3,372.02 / $4,087.30	Professional		$3,372.02	$3,372.02	$4,087.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,119.10	Professional		$32.34	$32.34	$3,119.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,212.95 / $4,212.95 / $4,671.51	Professional		$4,212.95	$4,212.95	$4,671.51
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 $1,836.55 / $2,555.17 / $4,304.72	Professional		$1,836.55	$2,555.17	$4,304.72