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 $1,106.11 / $1,112.88 / $1,671.29	Professional		$1,106.11	$1,112.88	$1,671.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,333.45 / $1,632.32 / $1,822.38	Professional		$1,333.45	$1,632.32	$1,822.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,110.29 / $1,671.29 / $2,139.25	Facility		$1,110.29	$1,671.29	$2,139.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,538.18 / $1,631.40 / $1,864.46	Professional		$1,538.18	$1,631.40	$1,864.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,326.10 / $1,668.32	Professional		$32.34	$1,326.10	$1,668.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,476.19 / $1,476.19 / $1,800.76	Professional		$1,476.19	$1,476.19	$1,800.76
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 $1,021.45 / $1,463.07 / $1,930.52	Professional		$1,021.45	$1,463.07	$1,930.52