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 $1,382.74 / $1,913.26 / $4,055.95	Professional		$1,382.74	$1,913.26	$4,055.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,359.51 / $2,154.51 / $2,644.52	Professional		$1,359.51	$2,154.51	$2,644.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,374.45 / $2,448.96 / $4,299.31	Facility		$1,374.45	$2,448.96	$4,299.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,277.91 / $2,415.96 / $2,761.10	Professional		$2,277.91	$2,415.96	$2,761.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,917.33 / $2,412.13	Professional		$32.34	$1,917.33	$2,412.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,405.46 / $2,813.01 / $2,860.33	Professional		$2,405.46	$2,813.01	$2,860.33
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 $1,489.06 / $1,939.22 / $3,053.25	Professional		$1,489.06	$1,939.22	$3,053.25