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 $1,277.20 / $1,630.23 / $2,842.25	Professional		$1,277.20	$1,630.23	$2,842.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,757.06 / $2,150.87 / $2,401.31	Professional		$1,757.06	$2,150.87	$2,401.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,425.73 / $2,489.96 / $3,012.79	Facility		$1,425.73	$2,489.96	$3,012.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,008.91 / $2,130.66 / $2,435.04	Professional		$2,008.91	$2,130.66	$2,435.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,755.96 / $2,209.12	Professional		$32.34	$1,755.96	$2,209.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,911.48 / $1,911.48 / $2,346.15	Professional		$1,911.48	$1,911.48	$2,346.15
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 $1,303.92 / $1,745.69 / $2,673.63	Professional		$1,303.92	$1,745.69	$2,673.63