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 $1,689.91 / $1,779.21 / $3,178.06	Professional		$1,689.91	$1,779.21	$3,178.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,816.88 / $2,224.10 / $2,483.06	Professional		$1,816.88	$2,224.10	$2,483.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,689.91 / $2,405.85 / $3,368.74	Facility		$1,689.91	$2,405.85	$3,368.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,255.48 / $2,392.17 / $2,733.92	Professional		$2,255.48	$2,392.17	$2,733.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,835.12 / $2,308.69	Professional		$32.34	$1,835.12	$2,308.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,802.63 / $2,802.63 / $3,075.55	Professional		$2,802.63	$2,802.63	$3,075.55
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 $1,433.48 / $2,004.58 / $2,944.22	Professional		$1,433.48	$2,004.58	$2,944.22