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 $1,541.92 / $2,099.46 / $4,507.06	Professional		$1,541.92	$2,099.46	$4,507.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,687.17 / $2,450.79 / $2,955.36	Professional		$1,687.17	$2,450.79	$2,955.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,859.11 / $3,030.78 / $4,777.47	Facility		$1,859.11	$3,030.78	$4,777.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,505.81 / $2,657.67 / $3,037.34	Professional		$2,505.81	$2,657.67	$3,037.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $2,112.05 / $2,657.09	Professional		$32.34	$2,112.05	$2,657.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,654.74 / $3,107.95 / $3,160.24	Professional		$2,654.74	$3,107.95	$3,160.24
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 $1,715.84 / $2,262.33 / $3,539.76	Professional		$1,715.84	$2,262.33	$3,539.76