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 $2,025.92 / $2,132.75 / $3,811.03	Professional		$2,025.92	$2,132.75	$3,811.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,177.04 / $2,664.98 / $2,975.28	Professional		$2,177.04	$2,664.98	$2,975.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,025.92 / $2,884.21 / $4,039.69	Facility		$2,025.92	$2,884.21	$4,039.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,703.28 / $2,858.70 / $3,276.70	Professional		$2,703.28	$2,858.70	$3,276.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $2,200.16 / $2,767.95	Professional		$32.34	$2,200.16	$2,767.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,360.49 / $3,360.49 / $3,688.96	Professional		$3,360.49	$3,360.49	$3,688.96
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 $1,715.34 / $2,240.19 / $3,519.71	Professional		$1,715.34	$2,240.19	$3,519.71