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 $1,472.64 / $1,667.64 / $3,867.58	Professional		$1,472.64	$1,667.64	$3,867.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,767.87 / $2,164.11 / $2,416.09	Professional		$1,767.87	$2,164.11	$2,416.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,533.46 / $2,048.36 / $4,950.50	Facility		$1,533.46	$2,048.36	$4,950.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,061.76 / $2,346.10 / $2,499.10	Professional		$2,061.76	$2,346.10	$2,499.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,958.58 / $2,182.42	Professional		$32.34	$1,958.58	$2,182.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,346.09 / $2,566.69 / $2,600.13	Professional		$2,346.09	$2,566.69	$2,600.13
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 $1,376.46 / $1,948.01 / $2,822.37	Professional		$1,376.46	$1,948.01	$2,822.37