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 $1,700.92 / $2,359.50 / $4,988.33	Professional		$1,700.92	$2,359.50	$4,988.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,770.12 / $2,699.38 / $3,256.07	Professional		$1,770.12	$2,699.38	$3,256.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,852.98 / $3,020.16 / $5,287.63	Facility		$1,852.98	$3,020.16	$5,287.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,787.06 / $2,955.98 / $3,378.26	Professional		$2,787.06	$2,955.98	$3,378.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $2,345.75 / $2,951.11	Professional		$32.34	$2,345.75	$2,951.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,948.20 / $3,452.84 / $3,510.92	Professional		$2,948.20	$3,452.84	$3,510.92
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 $1,835.64 / $2,425.19 / $3,753.27	Professional		$1,835.64	$2,425.19	$3,753.27