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 $2,093.69 / $2,204.71 / $3,940.44	Professional		$2,093.69	$2,204.71	$3,940.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,252.83 / $2,757.77 / $3,078.87	Professional		$2,252.83	$2,757.77	$3,078.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,027.10 / $2,984.68 / $4,176.87	Facility		$2,027.10	$2,984.68	$4,176.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,795.61 / $2,896.14 / $3,388.62	Professional		$2,795.61	$2,896.14	$3,388.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $2,273.37 / $2,860.05	Professional		$32.34	$2,273.37	$2,860.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,474.46 / $3,474.46 / $3,813.20	Professional		$3,474.46	$3,474.46	$3,813.20
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 $1,753.33 / $2,307.00 / $3,645.97	Professional		$1,753.33	$2,307.00	$3,645.97