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 $1,628.07 / $1,776.12 / $2,919.25	Professional		$1,628.07	$1,776.12	$2,919.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,674.16 / $2,049.39 / $2,288.01	Professional		$1,674.16	$2,049.39	$2,288.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,449.85 / $2,133.40 / $3,094.41	Facility		$1,449.85	$2,133.40	$3,094.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,956.60 / $2,075.19 / $2,371.64	Professional		$1,956.60	$2,075.19	$2,371.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $78.00 / $2,076.28	Professional		$30.00	$78.00	$2,076.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,224.10 / $2,432.73 / $2,462.50	Professional		$2,224.10	$2,432.73	$2,462.50
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 $1,285.15 / $1,793.50 / $2,713.42	Professional		$1,285.15	$1,793.50	$2,713.42