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 $1,650.69 / $1,868.77 / $4,335.13	Professional		$1,650.69	$1,868.77	$4,335.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,981.91 / $2,426.13 / $2,708.62	Professional		$1,981.91	$2,426.13	$2,708.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,716.78 / $3,373.24 / $5,548.97	Facility		$1,716.78	$3,373.24	$5,548.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,308.86 / $2,448.79 / $2,798.62	Professional		$2,308.86	$2,448.79	$2,798.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $2,193.89 / $2,444.62	Professional		$32.34	$2,193.89	$2,444.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,628.26 / $2,877.95 / $2,912.01	Professional		$2,628.26	$2,877.95	$2,912.01
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 $1,544.63 / $2,192.96 / $3,176.95	Professional		$1,544.63	$2,192.96	$3,176.95