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 $1,071.57 / $1,418.16 / $3,217.68	Professional		$1,071.57	$1,418.16	$3,217.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,474.74 / $1,805.28 / $2,015.48	Professional		$1,474.74	$1,805.28	$2,015.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,247.16 / $1,753.25 / $4,118.63	Facility		$1,247.16	$1,753.25	$4,118.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,728.18 / $1,960.70 / $2,094.76	Professional		$1,728.18	$1,960.70	$2,094.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,646.09 / $1,834.21	Professional		$32.34	$1,646.09	$1,834.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,960.70 / $2,148.80 / $2,170.28	Professional		$1,960.70	$2,148.80	$2,170.28
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 $1,131.05 / $1,616.01 / $2,428.98	Professional		$1,131.05	$1,616.01	$2,428.98