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 $1,974.97 / $2,233.30 / $5,184.75	Professional		$1,974.97	$2,233.30	$5,184.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,371.62 / $2,903.18 / $3,241.22	Professional		$2,371.62	$2,903.18	$3,241.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,052.33 / $2,741.21 / $6,636.48	Facility		$2,052.33	$2,741.21	$6,636.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,759.31 / $3,143.50 / $3,344.62	Professional		$2,759.31	$3,143.50	$3,344.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,621.40	Professional		$32.34	$32.34	$2,621.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,143.50 / $3,439.14 / $3,483.56	Professional		$3,143.50	$3,439.14	$3,483.56
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 $1,848.15 / $2,540.46 / $3,789.54	Professional		$1,848.15	$2,540.46	$3,789.54