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 $1,258.31 / $1,659.22 / $3,771.75	Professional		$1,258.31	$1,659.22	$3,771.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,729.28 / $2,116.87 / $2,363.35	Professional		$1,729.28	$2,116.87	$2,363.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,498.71 / $2,049.34 / $4,827.84	Facility		$1,498.71	$2,049.34	$4,827.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,022.26 / $2,297.11 / $2,451.21	Professional		$2,022.26	$2,297.11	$2,451.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,925.58 / $2,145.64	Professional		$32.34	$1,925.58	$2,145.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,297.11 / $2,514.04 / $2,543.17	Professional		$2,297.11	$2,514.04	$2,543.17
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 $1,220.38 / $1,814.41 / $2,963.80	Professional		$1,220.38	$1,814.41	$2,963.80