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 $1,649.58 / $1,909.04 / $4,400.70	Professional		$1,649.58	$1,909.04	$4,400.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,999.73 / $2,447.94 / $2,732.97	Professional		$1,999.73	$2,447.94	$2,732.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,562.16 / $2,350.73 / $5,632.90	Facility		$1,562.16	$2,350.73	$5,632.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,100.71 / $2,419.00 / $2,679.45	Professional		$2,100.71	$2,419.00	$2,679.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,995.93 / $2,224.03	Professional		$32.34	$1,995.93	$2,224.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,679.46 / $2,935.27 / $2,949.30	Professional		$2,679.46	$2,935.27	$2,949.30
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 / $1,998.45 / $3,122.80	Professional		$1,376.91	$1,998.45	$3,122.80