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 $939.52 / $1,261.41 / $2,864.62	Professional		$939.52	$1,261.41	$2,864.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,314.52 / $1,609.14 / $1,796.51	Professional		$1,314.52	$1,609.14	$1,796.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,138.69 / $1,558.11 / $3,666.71	Facility		$1,138.69	$1,558.11	$3,666.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,536.58 / $1,745.25 / $1,862.52	Professional		$1,536.58	$1,745.25	$1,862.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,463.19 / $1,630.41	Professional		$32.34	$1,463.19	$1,630.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,745.24 / $1,910.19 / $1,932.30	Professional		$1,745.24	$1,910.19	$1,932.30
United Facility/Professional Facility Modifier Low / Median / High Price $12,798.00 / $37,291.00 / $39,332.00	Facility		$12,798.00	$37,291.00	$39,332.00
United Facility/Professional Professional Modifier Low / Median / High Price $933.85 / $1,335.16 / $2,071.26	Professional		$933.85	$1,335.16	$2,071.26