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 $1,285.50 / $1,822.53 / $3,037.84	Professional		$1,285.50	$1,822.53	$3,037.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,386.21 / $1,848.28 / $2,197.21	Professional		$1,386.21	$1,848.28	$2,197.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,246.51 / $2,299.33 / $3,493.52	Facility		$1,246.51	$2,299.33	$3,493.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,156.75 / $2,352.82 / $2,944.70	Professional		$2,156.75	$2,352.82	$2,944.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,759.31 / $2,213.33	Professional		$32.34	$1,759.31	$2,213.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,278.00 / $2,680.00 / $2,944.70	Professional		$2,278.00	$2,680.00	$2,944.70
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 $1,375.56 / $1,892.81 / $2,633.40	Professional		$1,375.56	$1,892.81	$2,633.40