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 $1,200.02 / $1,699.31 / $3,543.57	Professional		$1,200.02	$1,699.31	$3,543.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,046.83 / $1,879.98 / $2,299.42	Professional		$1,046.83	$1,879.98	$2,299.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,092.33 / $2,175.12 / $3,756.18	Facility		$1,092.33	$2,175.12	$3,756.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,007.85 / $2,129.54 / $2,433.76	Professional		$2,007.85	$2,129.54	$2,433.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,693.13 / $2,130.06	Professional		$32.34	$1,693.13	$2,130.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,110.87 / $2,462.79 / $2,504.21	Professional		$2,110.87	$2,462.79	$2,504.21
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 $1,215.63 / $1,656.43 / $2,432.88	Professional		$1,215.63	$1,656.43	$2,432.88