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 $1,243.42 / $1,253.05 / $1,866.52	Professional		$1,243.42	$1,253.05	$1,866.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,496.67 / $1,832.12 / $2,045.45	Professional		$1,496.67	$1,832.12	$2,045.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,238.98 / $1,866.52 / $2,145.31	Facility		$1,238.98	$1,866.52	$2,145.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,716.43 / $1,820.46 / $2,080.52	Professional		$1,716.43	$1,820.46	$2,080.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,479.72 / $1,861.59	Professional		$32.34	$1,479.72	$1,861.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,648.56 / $1,648.56 / $2,010.41	Professional		$1,648.56	$1,648.56	$2,010.41
United Facility/Professional Facility Modifier Low / Median / High Price $9,360.00 / $16,762.00 / $17,870.00	Facility		$9,360.00	$16,762.00	$17,870.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,134.69 / $1,390.95 / $2,145.41	Professional		$1,134.69	$1,390.95	$2,145.41