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 $1,894.44 / $2,062.96 / $3,356.99	Professional		$1,894.44	$2,062.96	$3,356.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,936.74 / $2,370.83 / $2,646.88	Professional		$1,936.74	$2,370.83	$2,646.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,522.50 / $2,470.55 / $3,558.41	Facility		$1,522.50	$2,470.55	$3,558.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,330.21 / $2,471.44 / $2,824.50	Professional		$2,330.21	$2,471.44	$2,824.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $78.00 / $2,483.05	Professional		$30.00	$78.00	$2,483.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,589.17 / $2,684.66 / $2,860.48	Professional		$2,589.17	$2,684.66	$2,860.48
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 $1,481.12 / $1,881.00 / $3,036.97	Professional		$1,481.12	$1,881.00	$3,036.97