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 $1,485.88 / $1,684.22 / $3,904.86	Professional		$1,485.88	$1,684.22	$3,904.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,784.77 / $2,184.79 / $2,439.17	Professional		$1,784.77	$2,184.79	$2,439.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,321.74 / $2,068.94 / $4,998.22	Facility		$1,321.74	$2,068.94	$4,998.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,085.77 / $2,370.94 / $2,528.19	Professional		$2,085.77	$2,370.94	$2,528.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,981.58 / $2,208.04	Professional		$32.34	$1,981.58	$2,208.04
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,370.94 / $2,596.02 / $2,627.25	Professional		$2,370.94	$2,596.02	$2,627.25
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 $1,383.90 / $1,903.50 / $2,876.40	Professional		$1,383.90	$1,903.50	$2,876.40