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 $1,748.97 / $1,909.98 / $3,144.38	Professional		$1,748.97	$1,909.98	$3,144.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,805.00 / $2,209.56 / $2,466.83	Professional		$1,805.00	$2,209.56	$2,466.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,557.62 / $2,300.05 / $3,333.04	Facility		$1,557.62	$2,300.05	$3,333.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,101.23 / $2,228.59 / $2,546.96	Professional		$2,101.23	$2,228.59	$2,546.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $78.00 / $2,229.30	Professional		$30.00	$78.00	$2,229.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,393.02 / $2,615.35 / $2,649.62	Professional		$2,393.02	$2,615.35	$2,649.62
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 $1,387.28 / $1,945.51 / $2,928.03	Professional		$1,387.28	$1,945.51	$2,928.03