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 $1,438.01 / $1,971.88 / $4,212.97	Professional		$1,438.01	$1,971.88	$4,212.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,502.26 / $2,287.06 / $2,757.93	Professional		$1,502.26	$2,287.06	$2,757.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,727.26 / $2,730.43 / $4,465.76	Facility		$1,727.26	$2,730.43	$4,465.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,349.96 / $2,492.39 / $2,848.44	Professional		$2,349.96	$2,492.39	$2,848.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,981.46 / $2,492.80	Professional		$32.34	$1,981.46	$2,492.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,486.48 / $2,909.55 / $2,958.49	Professional		$2,486.48	$2,909.55	$2,958.49
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 $1,607.09 / $2,078.87 / $3,269.66	Professional		$1,607.09	$2,078.87	$3,269.66