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 $2,252.63 / $2,744.22 / $6,106.17	Professional		$2,252.63	$2,744.22	$6,106.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,588.31 / $3,168.43 / $3,537.35	Professional		$2,588.31	$3,168.43	$3,537.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,858.13 / $3,415.21 / $7,815.90	Facility		$1,858.13	$3,415.21	$7,815.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,195.96 / $2,195.96 / $2,195.96	Professional		$2,195.96	$2,195.96	$2,195.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $1,520.29 / $3,293.96	Professional		$30.00	$1,520.29	$3,293.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,020.33 / $4,020.33 / $4,076.14	Professional		$4,020.33	$4,020.33	$4,076.14
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 $1,846.52 / $2,631.99 / $4,143.10	Professional		$1,846.52	$2,631.99	$4,143.10