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 $1,830.22 / $2,071.26 / $4,806.76	Professional		$1,830.22	$2,071.26	$4,806.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,198.75 / $2,691.56 / $3,004.96	Professional		$2,198.75	$2,691.56	$3,004.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,903.83 / $2,542.55 / $6,152.65	Facility		$1,903.83	$2,542.55	$6,152.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,559.71 / $2,915.45 / $3,102.68	Professional		$2,559.71	$2,915.45	$3,102.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $2,431.77 / $2,709.68	Professional		$32.34	$2,431.77	$2,709.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,915.46 / $3,189.20 / $3,230.67	Professional		$2,915.46	$3,189.20	$3,230.67
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 $1,713.90 / $2,496.16 / $3,960.60	Professional		$1,713.90	$2,496.16	$3,960.60