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 $1,620.89 / $1,891.37 / $4,316.22	Professional		$1,620.89	$1,891.37	$4,316.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,977.99 / $2,421.32 / $2,703.25	Professional		$1,977.99	$2,421.32	$2,703.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,503.24 / $2,332.34 / $5,524.77	Facility		$1,503.24	$2,332.34	$5,524.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,295.51 / $2,625.86 / $2,782.44	Professional		$2,295.51	$2,625.86	$2,782.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $2,195.48 / $2,446.39	Professional		$32.34	$2,195.48	$2,446.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,625.87 / $2,851.29 / $2,893.03	Professional		$2,625.87	$2,851.29	$2,893.03
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 $1,466.27 / $2,002.50 / $3,116.87	Professional		$1,466.27	$2,002.50	$3,116.87