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 $1,769.37 / $1,862.65 / $3,321.10	Professional		$1,769.37	$1,862.65	$3,321.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,901.43 / $2,327.60 / $2,598.62	Professional		$1,901.43	$2,327.60	$2,598.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,592.50 / $2,515.65 / $3,520.37	Facility		$1,592.50	$2,515.65	$3,520.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,359.57 / $2,502.57 / $2,860.08	Professional		$2,359.57	$2,502.57	$2,860.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,920.06 / $2,415.56	Professional		$32.34	$1,920.06	$2,415.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,930.60 / $2,930.60 / $3,216.67	Professional		$2,930.60	$2,930.60	$3,216.67
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 $1,500.97 / $2,094.26 / $3,094.25	Professional		$1,500.97	$2,094.26	$3,094.25