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 $1,853.71 / $1,889.13 / $3,302.14	Professional		$1,853.71	$1,889.13	$3,302.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,044.68 / $2,502.96 / $2,794.40	Professional		$2,044.68	$2,502.96	$2,794.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,645.40 / $2,896.72 / $3,500.27	Facility		$1,645.40	$2,896.72	$3,500.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,321.67 / $2,462.37 / $2,814.14	Professional		$2,321.67	$2,462.37	$2,814.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $2,031.99 / $2,556.37	Professional		$32.34	$2,031.99	$2,556.37
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,212.23 / $2,212.23 / $2,722.43	Professional		$2,212.23	$2,212.23	$2,722.43
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 $1,519.37 / $1,899.92 / $3,115.40	Professional		$1,519.37	$1,899.92	$3,115.40