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 $1,249.01 / $1,809.30 / $4,115.79	Professional		$1,249.01	$1,809.30	$4,115.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,887.68 / $2,310.77 / $2,579.83	Professional		$1,887.68	$2,310.77	$2,579.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,609.12 / $2,233.80 / $5,268.21	Facility		$1,609.12	$2,233.80	$5,268.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,203.17 / $2,504.96 / $2,670.52	Professional		$2,203.17	$2,504.96	$2,670.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $2,098.08 / $2,337.86	Professional		$32.34	$2,098.08	$2,337.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,504.96 / $2,742.65 / $2,773.02	Professional		$2,504.96	$2,742.65	$2,773.02
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 $1,388.28 / $1,984.96 / $2,999.48	Professional		$1,388.28	$1,984.96	$2,999.48