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 $1,609.37 / $1,766.14 / $2,866.79	Professional		$1,609.37	$1,766.14	$2,866.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,656.27 / $2,027.49 / $2,263.57	Professional		$1,656.27	$2,027.49	$2,263.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,380.62 / $2,097.66 / $3,038.80	Facility		$1,380.62	$2,097.66	$3,038.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,926.72 / $2,043.49 / $2,335.42	Professional		$1,926.72	$2,043.49	$2,335.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $78.00 / $2,101.75	Professional		$30.00	$78.00	$2,101.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,257.51 / $2,398.07 / $2,431.98	Professional		$2,257.51	$2,398.07	$2,431.98
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 $1,235.34 / $1,801.57 / $2,646.05	Professional		$1,235.34	$1,801.57	$2,646.05