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 $1,819.82 / $1,984.02 / $3,259.07	Professional		$1,819.82	$1,984.02	$3,259.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,867.28 / $2,285.80 / $2,551.94	Professional		$1,867.28	$2,285.80	$2,551.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,617.82 / $2,379.16 / $3,454.61	Facility		$1,617.82	$2,379.16	$3,454.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,183.96 / $2,316.34 / $2,647.24	Professional		$2,183.96	$2,316.34	$2,647.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $78.00 / $2,318.02	Professional		$30.00	$78.00	$2,318.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,483.05 / $2,717.32 / $2,749.29	Professional		$2,483.05	$2,717.32	$2,749.29
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 $1,347.76 / $1,918.20 / $3,020.02	Professional		$1,347.76	$1,918.20	$3,020.02