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 $1,695.89 / $1,984.39 / $4,513.24	Professional		$1,695.89	$1,984.39	$4,513.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,070.39 / $2,534.42 / $2,829.53	Professional		$2,070.39	$2,534.42	$2,829.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,791.43 / $2,450.06 / $5,776.95	Facility		$1,791.43	$2,450.06	$5,776.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,417.19 / $2,747.63 / $2,929.94	Professional		$2,417.19	$2,747.63	$2,929.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $2,301.73 / $2,564.80	Professional		$32.34	$2,301.73	$2,564.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,747.63 / $3,007.25 / $3,042.19	Professional		$2,747.63	$3,007.25	$3,042.19
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 $1,537.48 / $2,179.35 / $3,293.24	Professional		$1,537.48	$2,179.35	$3,293.24