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 $1,281.00 / $1,771.34 / $3,752.83	Professional		$1,281.00	$1,771.34	$3,752.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,282.29 / $1,996.61 / $2,449.65	Professional		$1,282.29	$1,996.61	$2,449.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,303.57 / $2,267.32 / $3,978.00	Facility		$1,303.57	$2,267.32	$3,978.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,103.39 / $2,230.87 / $2,549.56	Professional		$2,103.39	$2,230.87	$2,549.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,769.59 / $2,226.26	Professional		$32.34	$1,769.59	$2,226.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,220.78 / $2,599.94 / $2,643.69	Professional		$2,220.78	$2,599.94	$2,643.69
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 $1,373.75 / $1,826.82 / $2,829.77	Professional		$1,373.75	$1,826.82	$2,829.77