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 $1,364.84 / $1,644.33 / $3,741.48	Professional		$1,364.84	$1,644.33	$3,741.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,717.20 / $2,102.08 / $2,346.84	Professional		$1,717.20	$2,102.08	$2,346.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,468.62 / $2,029.44 / $4,789.09	Facility		$1,468.62	$2,029.44	$4,789.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,996.63 / $2,274.92 / $2,420.16	Professional		$1,996.63	$2,274.92	$2,420.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,901.39	Professional		$32.34	$32.34	$1,901.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,274.92 / $2,486.05 / $2,518.77	Professional		$2,274.92	$2,486.05	$2,518.77
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 $1,055.26 / $1,876.51 / $2,835.60	Professional		$1,055.26	$1,876.51	$2,835.60