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 $1,810.39 / $2,111.75 / $4,819.62	Professional		$1,810.39	$2,111.75	$4,819.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,209.44 / $2,704.65 / $3,019.57	Professional		$2,209.44	$2,704.65	$3,019.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,889.52 / $3,497.82 / $6,169.11	Facility		$1,889.52	$3,497.82	$6,169.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,561.84 / $2,930.40 / $3,105.26	Professional		$2,561.84	$2,930.40	$3,105.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $2,449.84 / $2,729.82	Professional		$32.34	$2,449.84	$2,729.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,930.40 / $3,181.20 / $3,227.96	Professional		$2,930.40	$3,181.20	$3,227.96
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 $1,699.10 / $2,429.71 / $3,483.92	Professional		$1,699.10	$2,429.71	$3,483.92