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 $1,394.91 / $1,405.93 / $2,451.51	Professional		$1,394.91	$1,405.93	$2,451.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,499.51 / $1,822.03 / $2,049.33	Professional		$1,499.51	$1,822.03	$2,049.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,245.20 / $1,950.62 / $2,598.60	Facility		$1,245.20	$1,950.62	$2,598.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,724.45 / $1,828.96 / $2,090.23	Professional		$1,724.45	$1,828.96	$2,090.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,485.86 / $1,869.31	Professional		$32.34	$1,485.86	$1,869.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,658.28 / $1,658.28 / $2,022.48	Professional		$1,658.28	$1,658.28	$2,022.48
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 $967.89 / $1,419.33 / $2,274.01	Professional		$967.89	$1,419.33	$2,274.01