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 $1,352.59 / $1,967.62 / $3,535.89	Professional		$1,352.59	$1,967.62	$3,535.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,631.78 / $2,241.46 / $2,609.51	Professional		$1,631.78	$2,241.46	$2,609.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,427.95 / $2,687.44 / $4,066.27	Facility		$1,427.95	$2,687.44	$4,066.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,361.69 / $2,576.39 / $3,452.23	Professional		$2,361.69	$2,576.39	$3,452.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $2,015.34 / $2,535.42	Professional		$32.34	$2,015.34	$2,535.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,487.61 / $2,926.60 / $3,452.23	Professional		$2,487.61	$2,926.60	$3,452.23
United Facility/Professional Facility Modifier Low / Median / High Price $675.00 / $3,700.00 / $26,104.00	Facility		$675.00	$3,700.00	$26,104.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,592.27 / $2,268.25 / $3,227.88	Professional		$1,592.27	$2,268.25	$3,227.88