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 $1,519.40 / $2,086.90 / $4,520.39	Professional		$1,519.40	$2,086.90	$4,520.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,573.21 / $2,393.51 / $2,948.87	Professional		$1,573.21	$2,393.51	$2,948.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,613.56 / $2,671.23 / $4,791.62	Facility		$1,613.56	$2,671.23	$4,791.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,460.42 / $2,609.55 / $2,982.34	Professional		$2,460.42	$2,609.55	$2,982.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $2,142.94 / $2,695.97	Professional		$32.34	$2,142.94	$2,695.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,600.92 / $3,042.71 / $3,093.89	Professional		$2,600.92	$3,042.71	$3,093.89
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 $1,608.25 / $2,159.66 / $3,354.35	Professional		$1,608.25	$2,159.66	$3,354.35