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 $1,609.19 / $1,820.73 / $4,226.39	Professional		$1,609.19	$1,820.73	$4,226.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,931.93 / $2,364.94 / $2,640.30	Professional		$1,931.93	$2,364.94	$2,640.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,673.77 / $2,235.40 / $5,409.78	Facility		$1,673.77	$2,235.40	$5,409.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,250.67 / $2,562.67 / $2,728.10	Professional		$2,250.67	$2,562.67	$2,728.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $2,138.38 / $2,382.76	Professional		$32.34	$2,138.38	$2,382.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,562.67 / $2,804.63 / $2,839.46	Professional		$2,562.67	$2,804.63	$2,839.46
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 $1,488.71 / $2,112.96 / $3,294.07	Professional		$1,488.71	$2,112.96	$3,294.07