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 $1,426.64 / $1,764.95 / $4,034.64	Professional		$1,426.64	$1,764.95	$4,034.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,842.11 / $2,254.98 / $2,517.55	Professional		$1,842.11	$2,254.98	$2,517.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,590.29 / $2,858.29 / $5,164.34	Facility		$1,590.29	$2,858.29	$5,164.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,150.35 / $2,449.21 / $2,606.48	Professional		$2,150.35	$2,449.21	$2,606.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $2,051.37 / $2,285.81	Professional		$32.34	$2,051.37	$2,285.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,449.21 / $2,680.00 / $2,706.58	Professional		$2,449.21	$2,680.00	$2,706.58
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 $1,348.09 / $1,872.45 / $2,892.65	Professional		$1,348.09	$1,872.45	$2,892.65