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 $1,343.84 / $1,806.72 / $4,119.64	Professional		$1,343.84	$1,806.72	$4,119.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,886.84 / $2,309.75 / $2,578.67	Professional		$1,886.84	$2,309.75	$2,578.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,457.84 / $2,229.79 / $5,273.14	Facility		$1,457.84	$2,229.79	$5,273.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,193.58 / $2,504.42 / $2,658.88	Professional		$2,193.58	$2,504.42	$2,658.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,091.88	Professional		$32.34	$32.34	$2,091.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,504.42 / $2,749.98 / $2,761.49	Professional		$2,504.42	$2,749.98	$2,761.49
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 $1,361.62 / $2,020.50 / $2,975.53	Professional		$1,361.62	$2,020.50	$2,975.53