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 $1,597.52 / $2,208.81 / $4,683.93	Professional		$1,597.52	$2,208.81	$4,683.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,560.76 / $2,488.16 / $3,055.38	Professional		$1,560.76	$2,488.16	$3,055.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,587.12 / $2,827.28 / $4,964.97	Facility		$1,587.12	$2,827.28	$4,964.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,625.35 / $2,784.46 / $3,182.24	Professional		$2,625.35	$2,784.46	$3,182.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $2,209.26 / $2,779.39	Professional		$32.34	$2,209.26	$2,779.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,773.14 / $3,245.11 / $3,299.70	Professional		$2,773.14	$3,245.11	$3,299.70
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 $1,721.11 / $2,330.44 / $3,583.00	Professional		$1,721.11	$2,330.44	$3,583.00