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 $1,523.85 / $1,763.94 / $4,047.09	Professional		$1,523.85	$1,763.94	$4,047.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,859.09 / $2,275.78 / $2,763.81	Professional		$1,859.09	$2,275.78	$2,763.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,283.81 / $2,168.14 / $5,180.28	Facility		$1,283.81	$2,168.14	$5,180.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,136.46 / $2,265.94 / $2,589.66	Professional		$2,136.46	$2,265.94	$2,589.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $2,042.43 / $2,275.85	Professional		$32.34	$2,042.43	$2,275.85
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,454.33 / $2,658.00 / $2,703.86	Professional		$2,454.33	$2,658.00	$2,703.86
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 $1,509.73 / $2,354.48 / $3,257.88	Professional		$1,509.73	$2,354.48	$3,257.88