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 $1,960.55 / $2,967.35 / $4,786.46	Professional		$1,960.55	$2,967.35	$4,786.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,189.56 / $2,919.42 / $3,495.95	Professional		$2,189.56	$2,919.42	$3,495.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,952.76 / $3,651.18 / $5,504.43	Facility		$1,952.76	$3,651.18	$5,504.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,392.85 / $3,701.29 / $4,628.93	Professional		$3,392.85	$3,701.29	$4,628.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $2,756.69 / $3,468.09	Professional		$32.34	$2,756.69	$3,468.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,586.11 / $4,218.95 / $4,628.95	Professional		$3,586.11	$4,218.95	$4,628.95
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 $2,280.37 / $3,025.01 / $4,200.71	Professional		$2,280.37	$3,025.01	$4,200.71