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 $1,242.81 / $1,453.25 / $3,311.44	Professional		$1,242.81	$1,453.25	$3,311.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,516.73 / $1,856.68 / $2,072.87	Professional		$1,516.73	$1,856.68	$2,072.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,226.45 / $1,793.47 / $4,238.64	Facility		$1,226.45	$1,793.47	$4,238.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,763.40 / $2,015.10 / $2,137.46	Professional		$1,763.40	$2,015.10	$2,137.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,686.70 / $1,879.47	Professional		$32.34	$1,686.70	$1,879.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,015.10 / $2,188.79 / $2,219.77	Professional		$2,015.10	$2,188.79	$2,219.77
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 $1,029.35 / $1,543.05 / $2,523.73	Professional		$1,029.35	$1,543.05	$2,523.73