Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $775.02 / $775.02 / $5,519.00	Facility		$775.02	$775.02	$5,519.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,880.63 / $3,415.51 / $5,098.72	Professional		$2,880.63	$3,415.51	$5,098.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,070.92 / $4,983.35 / $5,563.59	Professional		$4,070.92	$4,983.35	$5,563.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,144.94 / $5,016.43 / $5,638.25	Facility		$3,144.94	$5,016.43	$5,638.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,718.06 / $4,727.18 / $5,718.86	Professional		$4,718.06	$4,727.18	$5,718.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $4,061.85 / $5,110.07	Professional		$32.34	$4,061.85	$5,110.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,493.53 / $4,493.53 / $5,477.91	Professional		$4,493.53	$4,493.53	$5,477.91
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 $3,010.46 / $4,178.99 / $5,950.52	Professional		$3,010.46	$4,178.99	$5,950.52