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 $1,428.26 / $1,669.33 / $3,798.52	Professional		$1,428.26	$1,669.33	$3,798.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,743.66 / $2,134.48 / $2,383.01	Professional		$1,743.66	$2,134.48	$2,383.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,479.46 / $2,059.96 / $4,862.10	Facility		$1,479.46	$2,059.96	$4,862.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,028.66 / $2,309.87 / $2,458.98	Professional		$2,028.66	$2,309.87	$2,458.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,931.42 / $2,152.16	Professional		$32.34	$1,931.42	$2,152.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,309.87 / $2,525.37 / $2,557.42	Professional		$2,309.87	$2,525.37	$2,557.42
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 $1,286.41 / $1,839.61 / $2,807.69	Professional		$1,286.41	$1,839.61	$2,807.69