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 $1,252.08 / $1,751.23 / $3,681.53	Professional		$1,252.08	$1,751.23	$3,681.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,088.21 / $1,948.42 / $2,390.02	Professional		$1,088.21	$1,948.42	$2,390.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,185.73 / $2,241.57 / $3,902.42	Facility		$1,185.73	$2,241.57	$3,902.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,092.17 / $2,218.96 / $2,535.96	Professional		$2,092.17	$2,218.96	$2,535.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,763.20 / $2,218.21	Professional		$32.34	$1,763.20	$2,218.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,201.52 / $2,564.66 / $2,607.80	Professional		$2,201.52	$2,564.66	$2,607.80
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 $1,291.98 / $1,782.24 / $2,747.63	Professional		$1,291.98	$1,782.24	$2,747.63