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 $1,899.34 / $2,073.73 / $3,414.32	Professional		$1,899.34	$2,073.73	$3,414.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,958.66 / $2,397.66 / $2,676.84	Professional		$1,958.66	$2,397.66	$2,676.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,692.04 / $2,495.06 / $3,619.18	Facility		$1,692.04	$2,495.06	$3,619.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,282.17 / $2,420.50 / $2,766.28	Professional		$2,282.17	$2,420.50	$2,766.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $78.00 / $2,420.85	Professional		$30.00	$78.00	$2,420.85
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,597.35 / $2,839.96 / $2,875.40	Professional		$2,597.35	$2,839.96	$2,875.40
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 $1,503.13 / $2,017.97 / $3,193.01	Professional		$1,503.13	$2,017.97	$3,193.01