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 $1,671.45 / $1,759.29 / $3,139.46	Professional		$1,671.45	$1,759.29	$3,139.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,794.44 / $2,196.63 / $2,452.40	Professional		$1,794.44	$2,196.63	$2,452.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,671.45 / $2,374.96 / $3,327.83	Facility		$1,671.45	$2,374.96	$3,327.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,230.92 / $2,318.94 / $2,704.16	Professional		$2,230.92	$2,318.94	$2,704.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,816.18 / $2,284.87	Professional		$32.34	$1,816.18	$2,284.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,770.64 / $2,770.64 / $3,040.41	Professional		$2,770.64	$2,770.64	$3,040.41
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 $1,414.35 / $1,811.25 / $2,900.06	Professional		$1,414.35	$1,811.25	$2,900.06