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 $1,704.91 / $1,929.42 / $4,477.54	Professional		$1,704.91	$1,929.42	$4,477.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,047.40 / $2,506.29 / $2,798.12	Professional		$2,047.40	$2,506.29	$2,798.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,773.35 / $2,368.73 / $5,731.25	Facility		$1,773.35	$2,368.73	$5,731.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,384.65 / $2,715.85 / $2,890.48	Professional		$2,384.65	$2,715.85	$2,890.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $2,265.73 / $2,524.67	Professional		$32.34	$2,265.73	$2,524.67
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,715.85 / $2,972.59 / $3,009.64	Professional		$2,715.85	$2,972.59	$3,009.64
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 $1,433.46 / $2,201.46 / $3,273.01	Professional		$1,433.46	$2,201.46	$3,273.01