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 $1,006.28 / $1,280.89 / $2,282.85	Professional		$1,006.28	$1,280.89	$2,282.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,303.81 / $1,596.03 / $1,781.87	Professional		$1,303.81	$1,596.03	$1,781.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,217.55 / $1,722.78 / $2,419.82	Facility		$1,217.55	$1,722.78	$2,419.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,620.89 / $1,691.82 / $1,964.72	Professional		$1,620.89	$1,691.82	$1,964.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,321.07 / $1,661.99	Professional		$32.34	$1,321.07	$1,661.99
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,013.50 / $2,013.50 / $2,211.14	Professional		$2,013.50	$2,013.50	$2,211.14
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 $902.43 / $1,309.05 / $2,100.42	Professional		$902.43	$1,309.05	$2,100.42