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 $1,690.18 / $1,914.24 / $4,440.14	Professional		$1,690.18	$1,914.24	$4,440.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,031.09 / $2,486.32 / $2,775.82	Professional		$2,031.09	$2,486.32	$2,775.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,757.89 / $2,350.39 / $5,683.39	Facility		$1,757.89	$2,350.39	$5,683.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,364.37 / $2,692.52 / $2,865.90	Professional		$2,364.37	$2,692.52	$2,865.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $2,246.86 / $2,503.64	Professional		$32.34	$2,246.86	$2,503.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,692.52 / $2,947.93 / $2,983.20	Professional		$2,692.52	$2,947.93	$2,983.20
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 $1,582.53 / $2,196.96 / $3,337.55	Professional		$1,582.53	$2,196.96	$3,337.55