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 $1,855.91 / $2,162.05 / $2,768.59	Professional		$1,855.91	$2,162.05	$2,768.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,234.00 / $2,734.72 / $3,053.14	Professional		$2,234.00	$2,734.72	$3,053.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,853.21 / $2,768.59 / $3,543.80	Facility		$1,853.21	$2,768.59	$3,543.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,579.98 / $2,736.35 / $3,127.26	Professional		$2,579.98	$2,736.35	$3,127.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $2,171.69 / $2,732.13	Professional		$32.34	$2,171.69	$2,732.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,471.57 / $2,471.57 / $3,695.94	Professional		$2,471.57	$2,471.57	$3,695.94
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 $1,735.19 / $2,361.79 / $3,568.28	Professional		$1,735.19	$2,361.79	$3,568.28