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 $2,050.23 / $2,090.63 / $3,063.27	Professional		$2,050.23	$2,090.63	$3,063.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,460.44 / $2,958.74 / $3,362.61	Professional		$2,460.44	$2,958.74	$3,362.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,090.63 / $3,063.27 / $3,461.94	Facility		$2,090.63	$3,063.27	$3,461.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,938.65 / $2,979.87 / $3,562.00	Professional		$2,938.65	$2,979.87	$3,562.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $2,441.23 / $3,071.23	Professional		$32.34	$2,441.23	$3,071.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,825.01 / $2,825.01 / $3,310.58	Professional		$2,825.01	$2,825.01	$3,310.58
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 $1,856.51 / $2,526.92 / $3,796.42	Professional		$1,856.51	$2,526.92	$3,796.42