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 $1,413.41 / $1,898.61 / $4,317.97	Professional		$1,413.41	$1,898.61	$4,317.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,979.97 / $2,423.73 / $2,705.96	Professional		$1,979.97	$2,423.73	$2,705.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,713.31 / $2,344.35 / $5,527.00	Facility		$1,713.31	$2,344.35	$5,527.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,312.59 / $2,629.60 / $2,803.14	Professional		$2,312.59	$2,629.60	$2,803.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $2,202.73 / $2,454.48	Professional		$32.34	$2,202.73	$2,454.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,629.60 / $2,877.95 / $2,911.33	Professional		$2,629.60	$2,877.95	$2,911.33
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 $1,400.79 / $2,018.47 / $3,232.78	Professional		$1,400.79	$2,018.47	$3,232.78