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 $1,576.96 / $1,587.66 / $2,783.36	Professional		$1,576.96	$1,587.66	$2,783.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,703.49 / $2,085.30 / $2,328.10	Professional		$1,703.49	$2,085.30	$2,328.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,541.46 / $2,240.23 / $2,950.36	Facility		$1,541.46	$2,240.23	$2,950.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,076.16 / $2,098.76 / $2,516.56	Professional		$2,076.16	$2,098.76	$2,516.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,747.76 / $2,198.80	Professional		$32.34	$1,747.76	$2,198.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,939.68 / $1,978.99 / $2,296.17	Professional		$1,939.68	$1,978.99	$2,296.17
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 $1,295.98 / $1,903.24 / $2,657.34	Professional		$1,295.98	$1,903.24	$2,657.34