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 $2,565.03 / $2,700.95 / $4,827.72	Professional		$2,565.03	$2,700.95	$4,827.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,759.28 / $3,377.73 / $3,771.02	Professional		$2,759.28	$3,377.73	$3,771.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,565.03 / $3,655.96 / $5,117.38	Facility		$2,565.03	$3,655.96	$5,117.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,425.40 / $3,548.22 / $4,152.00	Professional		$3,425.40	$3,548.22	$4,152.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,145.61	Professional		$32.34	$32.34	$3,145.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,257.60 / $4,257.60 / $4,671.38	Professional		$4,257.60	$4,257.60	$4,671.38
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 $2,179.09 / $3,020.84 / $4,470.62	Professional		$2,179.09	$3,020.84	$4,470.62