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 $1,097.51 / $1,618.87 / $2,888.96	Professional		$1,097.51	$1,618.87	$2,888.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,651.04 / $2,014.41 / $2,256.42	Professional		$1,651.04	$2,014.41	$2,256.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,538.17 / $2,184.98 / $3,062.30	Facility		$1,538.17	$2,184.98	$3,062.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,051.08 / $2,135.64 / $2,486.16	Professional		$2,051.08	$2,135.64	$2,486.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,670.09 / $2,101.09	Professional		$32.34	$1,670.09	$2,101.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,548.69 / $2,548.69 / $2,797.68	Professional		$2,548.69	$2,548.69	$2,797.68
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 $1,177.24 / $1,694.18 / $2,671.06	Professional		$1,177.24	$1,694.18	$2,671.06