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 $1,484.99 / $1,739.96 / $3,954.24	Professional		$1,484.99	$1,739.96	$3,954.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,812.49 / $2,218.73 / $2,477.07	Professional		$1,812.49	$2,218.73	$2,477.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,572.05 / $2,149.44 / $5,061.43	Facility		$1,572.05	$2,149.44	$5,061.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,121.52 / $2,408.55 / $2,571.54	Professional		$2,121.52	$2,408.55	$2,571.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $2,020.31 / $2,251.19	Professional		$32.34	$2,020.31	$2,251.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,408.55 / $2,637.34 / $2,666.57	Professional		$2,408.55	$2,637.34	$2,666.57
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 $1,113.29 / $1,833.97 / $2,853.43	Professional		$1,113.29	$1,833.97	$2,853.43