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 $1,505.73 / $2,105.98 / $4,420.88	Professional		$1,505.73	$2,105.98	$4,420.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,418.19 / $2,344.21 / $2,884.94	Professional		$1,418.19	$2,344.21	$2,884.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,478.44 / $2,695.67 / $4,686.13	Facility		$1,478.44	$2,695.67	$4,686.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,473.25 / $2,623.15 / $2,997.88	Professional		$2,473.25	$2,623.15	$2,997.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $2,083.26 / $2,620.88	Professional		$32.34	$2,083.26	$2,620.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,611.12 / $3,059.35 / $3,110.82	Professional		$2,611.12	$3,059.35	$3,110.82
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 $1,455.89 / $2,013.31 / $3,125.86	Professional		$1,455.89	$2,013.31	$3,125.86