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 $1,607.03 / $1,873.87 / $4,278.59	Professional		$1,607.03	$1,873.87	$4,278.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,960.00 / $2,399.31 / $2,678.67	Professional		$1,960.00	$2,399.31	$2,678.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,549.28 / $2,310.55 / $5,476.60	Facility		$1,549.28	$2,310.55	$5,476.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,272.03 / $2,601.11 / $2,753.98	Professional		$2,272.03	$2,601.11	$2,753.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $2,173.10 / $2,421.44	Professional		$32.34	$2,173.10	$2,421.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,601.11 / $2,823.96 / $2,865.91	Professional		$2,601.11	$2,823.96	$2,865.91
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 $1,504.94 / $1,921.04 / $3,085.81	Professional		$1,504.94	$1,921.04	$3,085.81