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 $2,175.71 / $2,508.89 / $5,771.08	Professional		$2,175.71	$2,508.89	$5,771.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,651.52 / $3,245.82 / $3,623.75	Professional		$2,651.52	$3,245.82	$3,623.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,824.35 / $3,080.26 / $7,386.98	Facility		$1,824.35	$3,080.26	$7,386.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,036.86 / $3,220.91 / $3,681.04	Professional		$3,036.86	$3,220.91	$3,681.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,902.38	Professional		$32.34	$32.34	$2,902.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,494.03 / $3,780.39 / $3,849.01	Professional		$3,494.03	$3,780.39	$3,849.01
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 $2,138.75 / $2,911.08 / $4,197.28	Professional		$2,138.75	$2,911.08	$4,197.28