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 $2,017.53 / $3,270.51 / $5,325.58	Professional		$2,017.53	$3,270.51	$5,325.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,437.44 / $3,249.91 / $3,859.27	Professional		$2,437.44	$3,249.91	$3,859.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,170.71 / $3,663.71 / $6,124.42	Facility		$2,170.71	$3,663.71	$6,124.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,773.91 / $4,117.00 / $5,147.67	Professional		$3,773.91	$4,117.00	$5,147.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $3,064.51 / $3,855.35	Professional		$32.34	$3,064.51	$3,855.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,989.47 / $4,693.49 / $5,147.67	Professional		$3,989.47	$4,693.49	$5,147.67
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 $2,362.31 / $3,412.24 / $4,683.72	Professional		$2,362.31	$3,412.24	$4,683.72