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 $1,741.86 / $2,029.28 / $4,636.05	Professional		$1,741.86	$2,029.28	$4,636.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,125.71 / $2,602.15 / $2,905.13	Professional		$2,125.71	$2,602.15	$2,905.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,765.66 / $2,500.73 / $5,934.14	Facility		$1,765.66	$2,500.73	$5,934.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,460.42 / $2,817.82 / $2,982.34	Professional		$2,460.42	$2,817.82	$2,982.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $2,353.03 / $2,621.95	Professional		$32.34	$2,353.03	$2,621.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,817.82 / $3,057.24 / $3,104.56	Professional		$2,817.82	$3,057.24	$3,104.56
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 $1,368.36 / $2,085.46 / $3,351.46	Professional		$1,368.36	$2,085.46	$3,351.46