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 $1,942.88 / $2,481.42 / $4,091.70	Professional		$1,942.88	$2,481.42	$4,091.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,343.19 / $2,868.39 / $3,202.37	Professional		$2,343.19	$2,868.39	$3,202.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,636.13 / $2,986.83 / $4,337.20	Facility		$1,636.13	$2,986.83	$4,337.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,733.16 / $2,898.81 / $3,312.92	Professional		$2,733.16	$2,898.81	$3,312.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $55.00 / $2,602.92	Professional		$30.00	$55.00	$2,602.92
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,116.99 / $3,404.48 / $3,442.88	Professional		$3,116.99	$3,404.48	$3,442.88
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 $1,446.47 / $2,538.67 / $3,782.13	Professional		$1,446.47	$2,538.67	$3,782.13