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 $1,622.32 / $1,853.54 / $4,274.77	Professional		$1,622.32	$1,853.54	$4,274.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,956.44 / $2,394.94 / $2,673.80	Professional		$1,956.44	$2,394.94	$2,673.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,682.15 / $2,280.08 / $5,471.71	Facility		$1,682.15	$2,280.08	$5,471.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,265.63 / $2,608.91 / $2,746.22	Professional		$2,265.63	$2,608.91	$2,746.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $2,155.17 / $2,401.48	Professional		$32.34	$2,155.17	$2,401.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,611.19 / $2,839.29 / $2,892.35	Professional		$2,611.19	$2,839.29	$2,892.35
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 $1,518.78 / $2,061.96 / $3,125.01	Professional		$1,518.78	$2,061.96	$3,125.01