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 $1,116.49 / $1,267.41 / $2,935.25	Professional		$1,116.49	$1,267.41	$2,935.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,340.39 / $1,640.81 / $1,831.86	Professional		$1,340.39	$1,640.81	$1,831.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,163.47 / $1,558.04 / $3,757.12	Facility		$1,163.47	$1,558.04	$3,757.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,565.39 / $1,780.89 / $1,897.44	Professional		$1,565.39	$1,780.89	$1,897.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,487.80 / $1,657.83	Professional		$32.34	$1,487.80	$1,657.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,780.88 / $1,948.85 / $1,972.98	Professional		$1,780.88	$1,948.85	$1,972.98
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 $1,042.27 / $1,488.60 / $2,278.06	Professional		$1,042.27	$1,488.60	$2,278.06