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 $1,721.91 / $2,011.79 / $4,579.60	Professional		$1,721.91	$2,011.79	$4,579.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,101.38 / $2,572.37 / $2,871.89	Professional		$2,101.38	$2,572.37	$2,871.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,816.71 / $2,482.69 / $5,861.89	Facility		$1,816.71	$2,482.69	$5,861.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,450.30 / $2,786.82 / $2,970.06	Professional		$2,450.30	$2,786.82	$2,970.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $2,332.54 / $2,599.12	Professional		$32.34	$2,332.54	$2,599.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,786.82 / $3,047.90 / $3,085.58	Professional		$2,786.82	$3,047.90	$3,085.58
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 $1,555.79 / $2,138.48 / $3,310.76	Professional		$1,555.79	$2,138.48	$3,310.76