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 $1,517.10 / $1,884.22 / $4,300.76	Professional		$1,517.10	$1,884.22	$4,300.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,970.44 / $2,412.08 / $2,692.94	Professional		$1,970.44	$2,412.08	$2,692.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,495.18 / $2,323.42 / $5,504.97	Facility		$1,495.18	$2,323.42	$5,504.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,286.98 / $2,616.78 / $2,772.10	Professional		$2,286.98	$2,616.78	$2,772.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $2,187.44 / $2,437.44	Professional		$32.34	$2,187.44	$2,437.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,616.78 / $2,841.29 / $2,883.53	Professional		$2,616.78	$2,841.29	$2,883.53
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 $1,287.08 / $1,974.15 / $3,330.70	Professional		$1,287.08	$1,974.15	$3,330.70