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 $1,336.95 / $1,844.42 / $3,920.14	Professional		$1,336.95	$1,844.42	$3,920.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,323.63 / $2,087.96 / $2,548.11	Professional		$1,323.63	$2,087.96	$2,548.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,326.33 / $2,360.86 / $4,155.35	Facility		$1,326.33	$2,360.86	$4,155.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,220.26 / $2,354.82 / $2,691.22	Professional		$2,220.26	$2,354.82	$2,691.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,868.91 / $2,351.21	Professional		$32.34	$1,868.91	$2,351.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,345.41 / $2,746.43 / $2,784.14	Professional		$2,345.41	$2,746.43	$2,784.14
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 $1,468.89 / $1,909.43 / $2,943.71	Professional		$1,468.89	$1,909.43	$2,943.71