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 $1,498.93 / $1,515.29 / $2,243.23	Professional		$1,498.93	$1,515.29	$2,243.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,792.41 / $2,194.15 / $2,449.62	Professional		$1,792.41	$2,194.15	$2,449.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,511.71 / $2,179.73 / $2,442.52	Facility		$1,511.71	$2,179.73	$2,442.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,093.23 / $2,093.23 / $2,537.26	Professional		$2,093.23	$2,093.23	$2,537.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $2,035.90 / $2,268.57	Professional		$32.34	$2,035.90	$2,268.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,004.06 / $2,004.06 / $2,420.56	Professional		$2,004.06	$2,004.06	$2,420.56
United Facility/Professional Facility Modifier Low / Median / High Price $12,000.00 / $24,599.00 / $65,746.00	Facility		$12,000.00	$24,599.00	$65,746.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,314.35 / $1,788.98 / $2,683.65	Professional		$1,314.35	$1,788.98	$2,683.65