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 $1,616.51 / $2,440.92 / $3,946.71	Professional		$1,616.51	$2,440.92	$3,946.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,805.52 / $2,407.36 / $2,858.74	Professional		$1,805.52	$2,407.36	$2,858.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,612.20 / $3,020.64 / $4,538.72	Facility		$1,612.20	$3,020.64	$4,538.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,803.09 / $3,057.91 / $3,820.03	Professional		$2,803.09	$3,057.91	$3,820.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $2,279.69 / $2,868.00	Professional		$32.34	$2,279.69	$2,868.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,960.66 / $3,483.13 / $3,820.03	Professional		$2,960.66	$3,483.13	$3,820.03
United Facility/Professional Facility Modifier Low / Median / High Price $675.00 / $3,700.00 / $26,104.00	Facility		$675.00	$3,700.00	$26,104.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,823.39 / $2,528.01 / $3,406.53	Professional		$1,823.39	$2,528.01	$3,406.53