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 $1,624.92 / $1,752.18 / $2,482.11	Professional		$1,624.92	$1,752.18	$2,482.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,743.42 / $2,134.17 / $2,382.67	Professional		$1,743.42	$2,134.17	$2,382.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,432.20 / $2,156.48 / $2,631.04	Facility		$1,432.20	$2,156.48	$2,631.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,983.83 / $2,104.06 / $2,404.64	Professional		$1,983.83	$2,104.06	$2,404.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,735.32 / $2,183.14	Professional		$32.34	$1,735.32	$2,183.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,888.97 / $1,888.97 / $2,323.26	Professional		$1,888.97	$1,888.97	$2,323.26
United Facility/Professional Facility Modifier Low / Median / High Price $10,120.00 / $22,317.00 / $27,159.00	Facility		$10,120.00	$22,317.00	$27,159.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,035.33 / $1,672.66 / $2,601.90	Professional		$1,035.33	$1,672.66	$2,601.90