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 $2,081.81 / $3,110.37 / $5,079.88	Professional		$2,081.81	$3,110.37	$5,079.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,324.56 / $3,099.41 / $3,712.44	Professional		$2,324.56	$3,099.41	$3,712.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,010.58 / $3,484.86 / $5,841.86	Facility		$2,010.58	$3,484.86	$5,841.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,454.75 / $3,768.82 / $4,913.89	Professional		$3,454.75	$3,768.82	$4,913.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $2,836.93 / $3,569.05	Professional		$32.34	$2,836.93	$3,569.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,808.18 / $4,480.21 / $4,913.89	Professional		$3,808.18	$4,480.21	$4,913.89
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 $2,420.96 / $3,312.93 / $4,459.71	Professional		$2,420.96	$3,312.93	$4,459.71