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 $1,518.19 / $2,054.71 / $4,389.97	Professional		$1,518.19	$2,054.71	$4,389.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,553.97 / $2,386.50 / $2,877.84	Professional		$1,553.97	$2,386.50	$2,877.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,811.17 / $2,672.94 / $5,048.47	Facility		$1,811.17	$2,672.94	$5,048.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,442.30 / $2,590.32 / $2,960.36	Professional		$2,442.30	$2,590.32	$2,960.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $2,059.02 / $2,590.38	Professional		$32.34	$2,059.02	$2,590.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,585.05 / $3,041.24 / $3,078.32	Professional		$2,585.05	$3,041.24	$3,078.32
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 $1,704.29 / $2,332.19 / $3,555.10	Professional		$1,704.29	$2,332.19	$3,555.10