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 $1,469.63 / $1,822.41 / $4,145.72	Professional		$1,469.63	$1,822.41	$4,145.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,901.47 / $2,327.65 / $2,598.67	Professional		$1,901.47	$2,327.65	$2,598.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,644.67 / $2,250.01 / $5,306.53	Facility		$1,644.67	$2,250.01	$5,306.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,219.19 / $2,523.50 / $2,689.94	Professional		$2,219.19	$2,523.50	$2,689.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $2,113.21 / $2,354.71	Professional		$32.34	$2,113.21	$2,354.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,523.50 / $2,761.31 / $2,794.04	Professional		$2,523.50	$2,761.31	$2,794.04
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 $1,460.55 / $1,903.05 / $2,994.79	Professional		$1,460.55	$1,903.05	$2,994.79