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 $1,539.41 / $1,568.05 / $2,738.64	Professional		$1,539.41	$1,568.05	$2,738.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,695.81 / $2,075.90 / $2,317.60	Professional		$1,695.81	$2,075.90	$2,317.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,365.81 / $2,382.50 / $2,902.96	Facility		$1,365.81	$2,382.50	$2,902.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,927.25 / $2,044.05 / $2,336.06	Professional		$1,927.25	$2,044.05	$2,336.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,686.77 / $2,122.07	Professional		$32.34	$1,686.77	$2,122.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,835.77 / $1,835.77 / $2,258.64	Professional		$1,835.77	$1,835.77	$2,258.64
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 $1,283.75 / $1,604.70 / $2,583.34	Professional		$1,283.75	$1,604.70	$2,583.34