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 $1,794.52 / $2,091.41 / $4,776.58	Professional		$1,794.52	$2,091.41	$4,776.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,189.44 / $2,680.17 / $2,992.23	Professional		$2,189.44	$2,680.17	$2,992.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,722.42 / $2,577.69 / $6,114.02	Facility		$1,722.42	$2,577.69	$6,114.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,538.36 / $2,904.68 / $3,076.80	Professional		$2,538.36	$2,904.68	$3,076.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $2,427.37 / $2,704.79	Professional		$32.34	$2,427.37	$2,704.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,904.69 / $3,151.88 / $3,200.16	Professional		$2,904.69	$3,151.88	$3,200.16
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 $1,346.86 / $2,099.26 / $3,452.10	Professional		$1,346.86	$2,099.26	$3,452.10