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 $1,487.32 / $2,056.42 / $4,364.14	Professional		$1,487.32	$2,056.42	$4,364.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,392.59 / $2,359.96 / $2,845.84	Professional		$1,392.59	$2,359.96	$2,845.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,462.70 / $2,632.22 / $4,626.00	Facility		$1,462.70	$2,632.22	$4,626.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,449.23 / $2,597.67 / $2,968.76	Professional		$2,449.23	$2,597.67	$2,968.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $2,061.08 / $2,592.96	Professional		$32.34	$2,061.08	$2,592.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,586.75 / $3,026.73 / $3,077.64	Professional		$2,586.75	$3,026.73	$3,077.64
United Facility/Professional Facility Modifier Low / Median / High Price $11,800.00 / $26,422.00 / $29,092.00	Facility		$11,800.00	$26,422.00	$29,092.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,583.99 / $2,068.80 / $3,286.34	Professional		$1,583.99	$2,068.80	$3,286.34