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 $1,366.64 / $1,691.79 / $3,863.28	Professional		$1,366.64	$1,691.79	$3,863.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,774.02 / $2,171.63 / $2,424.48	Professional		$1,774.02	$2,171.63	$2,424.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,250.48 / $2,061.56 / $4,945.00	Facility		$1,250.48	$2,061.56	$4,945.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,013.18 / $2,318.21 / $2,440.21	Professional		$2,013.18	$2,318.21	$2,440.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,989.40 / $2,216.76	Professional		$32.34	$1,989.40	$2,216.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,361.08 / $2,499.38 / $2,516.06	Professional		$2,361.08	$2,499.38	$2,516.06
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 $1,317.99 / $1,851.76 / $2,798.20	Professional		$1,317.99	$1,851.76	$2,798.20