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 $1,585.90 / $1,850.39 / $4,223.17	Professional		$1,585.90	$1,850.39	$4,223.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,934.77 / $2,368.42 / $2,644.19	Professional		$1,934.77	$2,368.42	$2,644.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,491.27 / $2,281.79 / $5,405.66	Facility		$1,491.27	$2,281.79	$5,405.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,245.88 / $2,569.63 / $2,722.28	Professional		$2,245.88	$2,569.63	$2,722.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $2,148.30 / $2,393.82	Professional		$32.34	$2,148.30	$2,393.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,569.62 / $2,789.97 / $2,831.33	Professional		$2,569.62	$2,789.97	$2,831.33
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 $1,487.25 / $2,123.16 / $3,049.53	Professional		$1,487.25	$2,123.16	$3,049.53