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 $1,910.63 / $2,160.12 / $5,015.42	Professional		$1,910.63	$2,160.12	$5,015.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,293.56 / $2,807.62 / $3,134.53	Professional		$2,293.56	$2,807.62	$3,134.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,985.69 / $2,651.47 / $6,419.74	Facility		$1,985.69	$2,651.47	$6,419.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,669.65 / $3,040.09 / $3,235.94	Professional		$2,669.65	$3,040.09	$3,235.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $2,536.14 / $2,825.98	Professional		$32.34	$2,536.14	$2,825.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,040.09 / $3,326.50 / $3,368.30	Professional		$3,040.09	$3,326.50	$3,368.30
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 $1,787.52 / $2,501.96 / $3,665.22	Professional		$1,787.52	$2,501.96	$3,665.22