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 $1,451.71 / $1,882.43 / $2,667.87	Professional		$1,451.71	$1,882.43	$2,667.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,873.88 / $2,293.88 / $2,560.96	Professional		$1,873.88	$2,293.88	$2,560.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,511.16 / $2,316.80 / $2,921.44	Facility		$1,511.16	$2,316.80	$2,921.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,131.14 / $2,260.30 / $2,583.19	Professional		$2,131.14	$2,260.30	$2,583.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,864.34 / $2,345.46	Professional		$32.34	$1,864.34	$2,345.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,028.61 / $2,028.61 / $2,495.85	Professional		$2,028.61	$2,028.61	$2,495.85
United Facility/Professional Facility Modifier Low / Median / High Price $3,700.00 / $24,707.00 / $38,510.00	Facility		$3,700.00	$24,707.00	$38,510.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,452.20 / $1,779.31 / $2,685.17	Professional		$1,452.20	$1,779.31	$2,685.17