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 $1,708.87 / $1,843.80 / $2,612.83	Professional		$1,708.87	$1,843.80	$2,612.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,837.19 / $2,248.96 / $2,510.83	Professional		$1,837.19	$2,248.96	$2,510.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,477.85 / $2,269.66 / $2,869.59	Facility		$1,477.85	$2,269.66	$2,869.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,085.23 / $2,211.62 / $2,527.56	Professional		$2,085.23	$2,211.62	$2,527.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,825.02 / $2,295.98	Professional		$32.34	$1,825.02	$2,295.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,985.64 / $1,985.64 / $2,443.82	Professional		$1,985.64	$1,985.64	$2,443.82
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 $1,366.35 / $1,897.50 / $2,795.08	Professional		$1,366.35	$1,897.50	$2,795.08