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 $1,641.91 / $1,657.61 / $2,464.88	Professional		$1,641.91	$1,657.61	$2,464.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,969.36 / $2,410.76 / $2,691.45	Professional		$1,969.36	$2,410.76	$2,691.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,653.34 / $2,364.08 / $2,673.44	Facility		$1,653.34	$2,364.08	$2,673.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,290.71 / $2,306.79 / $2,776.62	Professional		$2,290.71	$2,306.79	$2,776.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,974.58 / $2,484.14	Professional		$32.34	$1,974.58	$2,484.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,194.85 / $2,194.85 / $2,657.72	Professional		$2,194.85	$2,194.85	$2,657.72
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 $1,280.05 / $1,902.49 / $2,942.48	Professional		$1,280.05	$1,902.49	$2,942.48