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 $1,810.88 / $2,113.44 / $4,815.84	Professional		$1,810.88	$2,113.44	$4,815.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,209.98 / $2,705.31 / $3,020.30	Professional		$2,209.98	$2,705.31	$3,020.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,706.97 / $2,606.96 / $6,164.28	Facility		$1,706.97	$2,606.96	$6,164.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,571.98 / $2,929.29 / $3,117.56	Professional		$2,571.98	$2,929.29	$3,117.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,449.13	Professional		$32.34	$32.34	$2,449.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,929.29 / $3,203.87 / $3,242.87	Professional		$2,929.29	$3,203.87	$3,242.87
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 $1,698.74 / $2,224.36 / $3,483.18	Professional		$1,698.74	$2,224.36	$3,483.18