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 $2,894.73 / $4,258.63 / $6,806.20	Professional		$2,894.73	$4,258.63	$6,806.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,117.62 / $4,156.82 / $4,968.89	Professional		$3,117.62	$4,156.82	$4,968.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,769.47 / $4,820.43 / $7,827.13	Facility		$2,769.47	$4,820.43	$7,827.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,821.07 / $5,259.35 / $6,574.73	Professional		$4,821.07	$5,259.35	$6,574.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $3,910.01 / $4,919.05	Professional		$32.34	$3,910.01	$4,919.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5,096.46 / $5,995.83 / $6,574.73	Professional		$5,096.46	$5,995.83	$6,574.73
United Facility/Professional Facility Modifier Low / Median / High Price $675.00 / $3,700.00 / $26,104.00	Facility		$675.00	$3,700.00	$26,104.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,161.87 / $4,326.00 / $6,353.81	Professional		$3,161.87	$4,326.00	$6,353.81