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 $1,688.01 / $1,910.43 / $4,433.32	Professional		$1,688.01	$1,910.43	$4,433.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,027.05 / $2,481.38 / $2,770.30	Professional		$2,027.05	$2,481.38	$2,770.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,754.82 / $2,345.66 / $5,674.65	Facility		$1,754.82	$2,345.66	$5,674.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,360.09 / $2,688.40 / $2,860.72	Professional		$2,360.09	$2,688.40	$2,860.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $2,242.67 / $2,498.98	Professional		$32.34	$2,242.67	$2,498.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,688.40 / $2,942.60 / $2,979.13	Professional		$2,688.40	$2,942.60	$2,979.13
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 $1,579.64 / $2,177.48 / $3,238.98	Professional		$1,579.64	$2,177.48	$3,238.98