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 $1,570.66 / $2,301.04 / $3,856.88	Professional		$1,570.66	$2,301.04	$3,856.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,759.61 / $2,346.14 / $2,786.04	Professional		$1,759.61	$2,346.14	$2,786.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,581.37 / $2,898.90 / $4,435.41	Facility		$1,581.37	$2,898.90	$4,435.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,737.98 / $2,986.88 / $3,736.06	Professional		$2,737.98	$2,986.88	$3,736.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $2,231.78 / $2,807.73	Professional		$32.34	$2,231.78	$2,807.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,891.55 / $3,401.82 / $3,736.06	Professional		$2,891.55	$3,401.82	$3,736.06
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 $1,789.32 / $2,514.71 / $3,527.44	Professional		$1,789.32	$2,514.71	$3,527.44