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 $1,947.67 / $2,373.73 / $5,279.55	Professional		$1,947.67	$2,373.73	$5,279.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,295.44 / $2,809.92 / $3,137.10	Professional		$2,295.44	$2,809.92	$3,137.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,548.45 / $2,954.16 / $6,757.82	Facility		$1,548.45	$2,954.16	$6,757.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,829.98 / $1,829.98 / $1,829.98	Professional		$1,829.98	$1,829.98	$1,829.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $1,266.91 / $3,500.00	Professional		$30.00	$1,266.91	$3,500.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,682.41 / $3,682.41 / $3,733.75	Professional		$3,682.41	$3,682.41	$3,733.75
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 $1,549.53 / $2,153.41 / $3,955.33	Professional		$1,549.53	$2,153.41	$3,955.33