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 $2,165.98 / $2,365.80 / $3,896.47	Professional		$2,165.98	$2,365.80	$3,896.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,236.88 / $2,738.23 / $3,057.06	Professional		$2,236.88	$2,738.23	$3,057.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,930.54 / $2,850.79 / $4,130.26	Facility		$1,930.54	$2,850.79	$4,130.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,604.01 / $2,761.83 / $3,156.38	Professional		$2,604.01	$2,761.83	$3,156.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $78.00 / $2,762.49	Professional		$30.00	$78.00	$2,762.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,964.84 / $3,242.52 / $3,282.88	Professional		$2,964.84	$3,242.52	$3,282.88
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 $1,720.03 / $2,409.00 / $3,638.31	Professional		$1,720.03	$2,409.00	$3,638.31