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 $1,488.83 / $1,685.09 / $3,910.36	Professional		$1,488.83	$1,685.09	$3,910.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,787.08 / $2,187.62 / $2,442.34	Professional		$1,787.08	$2,187.62	$2,442.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,549.87 / $2,069.40 / $5,005.26	Facility		$1,549.87	$2,069.40	$5,005.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,083.64 / $2,371.98 / $2,525.62	Professional		$2,083.64	$2,371.98	$2,525.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,979.25 / $2,205.44	Professional		$32.34	$1,979.25	$2,205.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,371.98 / $2,595.35 / $2,629.28	Professional		$2,371.98	$2,595.35	$2,629.28
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 $1,425.84 / $2,045.28 / $3,405.34	Professional		$1,425.84	$2,045.28	$3,405.34