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 $1,712.95 / $2,012.15 / $4,581.70	Professional		$1,712.95	$2,012.15	$4,581.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,108.75 / $2,581.39 / $2,881.96	Professional		$2,108.75	$2,581.39	$2,881.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,467.50 / $2,476.80 / $5,864.58	Facility		$1,467.50	$2,476.80	$5,864.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,437.48 / $2,775.34 / $2,954.52	Professional		$2,437.48	$2,775.34	$2,954.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $2,334.66 / $2,601.48	Professional		$32.34	$2,334.66	$2,601.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,775.34 / $3,037.91 / $3,052.36	Professional		$2,775.34	$3,037.91	$3,052.36
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 $1,573.69 / $2,142.96 / $3,312.24	Professional		$1,573.69	$2,142.96	$3,312.24