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 $1,231.54 / $1,235.18 / $2,124.07	Professional		$1,231.54	$1,235.18	$2,124.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,301.38 / $1,593.06 / $1,778.55	Professional		$1,301.38	$1,593.06	$1,778.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,059.24 / $1,581.03 / $2,251.51	Facility		$1,059.24	$1,581.03	$2,251.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,561.66 / $1,561.66 / $1,892.92	Professional		$1,561.66	$1,561.66	$1,892.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,316.80 / $1,656.62	Professional		$32.34	$1,316.80	$1,656.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,483.86 / $1,483.86 / $1,754.85	Professional		$1,483.86	$1,483.86	$1,754.85
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 $993.60 / $1,352.40 / $2,040.92	Professional		$993.60	$1,352.40	$2,040.92