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 $1,484.26 / $1,728.24 / $3,927.70	Professional		$1,484.26	$1,728.24	$3,927.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,795.90 / $2,198.42 / $2,454.39	Professional		$1,795.90	$2,198.42	$2,454.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,259.71 / $2,140.16 / $5,027.46	Facility		$1,259.71	$2,140.16	$5,027.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,109.23 / $2,237.08 / $2,556.66	Professional		$2,109.23	$2,237.08	$2,556.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $2,004.08 / $2,233.12	Professional		$32.34	$2,004.08	$2,233.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,390.86 / $2,620.67 / $2,654.37	Professional		$2,390.86	$2,620.67	$2,654.37
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 $1,208.42 / $1,726.65 / $2,707.33	Professional		$1,208.42	$1,726.65	$2,707.33