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 $1,167.44 / $1,397.37 / $3,240.74	Professional		$1,167.44	$1,397.37	$3,240.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,482.20 / $1,814.41 / $2,025.67	Professional		$1,482.20	$1,814.41	$2,025.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,116.04 / $1,715.67 / $4,148.14	Facility		$1,116.04	$1,715.67	$4,148.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,728.18 / $1,965.98 / $2,094.76	Professional		$1,728.18	$1,965.98	$2,094.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,641.54 / $1,829.14	Professional		$32.34	$1,641.54	$1,829.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,965.98 / $2,151.46 / $2,178.41	Professional		$1,965.98	$2,151.46	$2,178.41
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 $1,152.32 / $1,538.11 / $2,369.48	Professional		$1,152.32	$1,538.11	$2,369.48