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 $1,465.85 / $1,677.66 / $3,861.70	Professional		$1,465.85	$1,677.66	$3,861.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,771.16 / $2,168.14 / $2,420.59	Professional		$1,771.16	$2,168.14	$2,420.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,522.69 / $2,063.21 / $4,942.97	Facility		$1,522.69	$2,063.21	$4,942.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,049.48 / $2,339.81 / $2,484.21	Professional		$2,049.48	$2,339.81	$2,484.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,948.45 / $2,171.13	Professional		$32.34	$1,948.45	$2,171.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,339.81 / $2,560.69 / $2,590.64	Professional		$2,339.81	$2,560.69	$2,590.64
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 $1,371.56 / $1,857.15 / $2,815.70	Professional		$1,371.56	$1,857.15	$2,815.70