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 $1,355.64 / $1,833.59 / $4,168.49	Professional		$1,355.64	$1,833.59	$4,168.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,911.25 / $2,339.63 / $2,612.04	Professional		$1,911.25	$2,339.63	$2,612.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,654.85 / $2,264.63 / $5,335.67	Facility		$1,654.85	$2,264.63	$5,335.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,233.61 / $2,538.19 / $2,707.40	Professional		$2,233.61	$2,538.19	$2,707.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $2,127.39 / $2,370.52	Professional		$32.34	$2,127.39	$2,370.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,538.17 / $2,778.64 / $2,810.31	Professional		$2,538.17	$2,778.64	$2,810.31
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 $1,376.91 / $1,930.50 / $3,135.70	Professional		$1,376.91	$1,930.50	$3,135.70