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 $1,670.37 / $2,305.32 / $4,899.64	Professional		$1,670.37	$2,305.32	$4,899.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,708.88 / $2,607.09 / $3,195.40	Professional		$1,708.88	$2,607.09	$3,195.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,727.85 / $2,950.81 / $5,193.62	Facility		$1,727.85	$2,950.81	$5,193.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,747.04 / $2,913.52 / $3,329.74	Professional		$2,747.04	$2,913.52	$3,329.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $2,311.75 / $2,908.33	Professional		$32.34	$2,311.75	$2,908.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,902.88 / $3,394.91 / $3,452.02	Professional		$2,902.88	$3,394.91	$3,452.02
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 $1,801.59 / $2,372.16 / $3,694.07	Professional		$1,801.59	$2,372.16	$3,694.07