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 $1,751.80 / $2,030.87 / $4,658.63	Professional		$1,751.80	$2,030.87	$4,658.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,136.11 / $2,614.89 / $3,358.02	Professional		$2,136.11	$2,614.89	$3,358.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,478.10 / $2,498.11 / $5,963.05	Facility		$1,478.10	$2,498.11	$5,963.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,460.98 / $2,823.11 / $2,983.00	Professional		$2,460.98	$2,823.11	$2,983.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,351.53	Professional		$32.34	$32.34	$2,351.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,823.11 / $3,060.57 / $3,113.38	Professional		$2,823.11	$3,060.57	$3,113.38
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 $1,681.42 / $2,506.05 / $4,022.97	Professional		$1,681.42	$2,506.05	$4,022.97