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 $1,349.69 / $1,528.68 / $3,545.45	Professional		$1,349.69	$1,528.68	$3,545.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,621.60 / $1,985.06 / $2,216.19	Professional		$1,621.60	$1,985.06	$2,216.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,405.22 / $1,877.03 / $4,538.18	Facility		$1,405.22	$1,877.03	$4,538.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,889.37 / $2,149.90 / $2,290.14	Professional		$1,889.37	$2,149.90	$2,290.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,794.89 / $2,000.02	Professional		$32.34	$1,794.89	$2,000.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,149.90 / $2,354.08 / $2,381.81	Professional		$2,149.90	$2,354.08	$2,381.81
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 $1,263.85 / $1,711.80 / $2,591.48	Professional		$1,263.85	$1,711.80	$2,591.48