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 $1,403.72 / $1,638.78 / $3,739.51	Professional		$1,403.72	$1,638.78	$3,739.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,711.73 / $2,095.39 / $2,339.37	Professional		$1,711.73	$2,095.39	$2,339.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,358.30 / $2,021.58 / $4,786.57	Facility		$1,358.30	$2,021.58	$4,786.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,988.63 / $2,275.96 / $2,410.46	Professional		$1,988.63	$2,275.96	$2,410.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,902.29 / $2,119.69	Professional		$32.34	$1,902.29	$2,119.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,275.96 / $2,470.05 / $2,507.92	Professional		$2,275.96	$2,470.05	$2,507.92
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 $1,184.75 / $1,698.75 / $2,696.57	Professional		$1,184.75	$1,698.75	$2,696.57