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 $1,566.23 / $1,567.79 / $2,721.08	Professional		$1,566.23	$1,567.79	$2,721.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,674.00 / $2,049.19 / $2,287.80	Professional		$1,674.00	$2,049.19	$2,287.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,449.05 / $2,141.96 / $2,884.34	Facility		$1,449.05	$2,141.96	$2,884.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,976.35 / $2,003.62 / $2,395.58	Professional		$1,976.35	$2,003.62	$2,395.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,663.83 / $2,093.21	Professional		$32.34	$1,663.83	$2,093.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,883.85 / $1,883.85 / $2,235.38	Professional		$1,883.85	$1,883.85	$2,235.38
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 $1,029.27 / $1,616.85 / $2,638.09	Professional		$1,029.27	$1,616.85	$2,638.09