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 $1,834.17 / $2,143.48 / $4,879.25	Professional		$1,834.17	$2,143.48	$4,879.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,238.44 / $2,740.17 / $3,059.22	Professional		$2,238.44	$2,740.17	$3,059.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,934.00 / $2,645.43 / $6,245.44	Facility		$1,934.00	$2,645.43	$6,245.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,609.87 / $2,969.44 / $3,163.48	Professional		$2,609.87	$2,969.44	$3,163.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $2,485.58 / $2,769.64	Professional		$32.34	$2,485.58	$2,769.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,969.44 / $3,249.85 / $3,287.62	Professional		$2,969.44	$3,249.85	$3,287.62
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 $1,673.96 / $2,268.46 / $3,529.05	Professional		$1,673.96	$2,268.46	$3,529.05