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 $1,635.14 / $2,351.92 / $5,368.67	Professional		$1,635.14	$2,351.92	$5,368.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,465.81 / $3,018.47 / $3,369.93	Professional		$2,465.81	$3,018.47	$3,369.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,999.48 / $2,897.97 / $6,871.90	Facility		$1,999.48	$2,897.97	$6,871.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,862.32 / $3,262.35 / $3,469.48	Professional		$2,862.32	$3,262.35	$3,469.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $2,724.42 / $3,035.78	Professional		$32.34	$2,724.42	$3,035.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,262.35 / $3,564.44 / $3,612.38	Professional		$3,262.35	$3,564.44	$3,612.38
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 $1,519.22 / $2,506.94 / $3,893.87	Professional		$1,519.22	$2,506.94	$3,893.87