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 $1,364.31 / $1,614.14 / $3,747.90	Professional		$1,364.31	$1,614.14	$3,747.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,713.09 / $2,097.06 / $2,341.23	Professional		$1,713.09	$2,097.06	$2,341.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,370.35 / $1,981.50 / $4,797.31	Facility		$1,370.35	$1,981.50	$4,797.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,997.18 / $2,272.54 / $2,420.82	Professional		$1,997.18	$2,272.54	$2,420.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,896.86 / $2,113.64	Professional		$32.34	$1,896.86	$2,113.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,272.54 / $2,486.05 / $2,518.09	Professional		$2,272.54	$2,486.05	$2,518.09
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 $1,335.68 / $1,875.16 / $2,833.57	Professional		$1,335.68	$1,875.16	$2,833.57