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 $1,397.89 / $1,583.85 / $3,673.41	Professional		$1,397.89	$1,583.85	$3,673.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,678.13 / $2,054.25 / $2,293.44	Professional		$1,678.13	$2,054.25	$2,293.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,455.30 / $1,945.82 / $4,701.96	Facility		$1,455.30	$1,945.82	$4,701.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,957.15 / $2,228.51 / $2,372.30	Professional		$1,957.15	$2,228.51	$2,372.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,859.55 / $2,072.07	Professional		$32.34	$1,859.55	$2,072.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,228.50 / $2,438.06 / $2,469.94	Professional		$2,228.50	$2,438.06	$2,469.94
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 $1,326.60 / $1,917.01 / $2,853.75	Professional		$1,326.60	$1,917.01	$2,853.75