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 $1,366.72 / $1,546.69 / $3,589.14	Professional		$1,366.72	$1,546.69	$3,589.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,641.01 / $2,008.81 / $2,242.71	Professional		$1,641.01	$2,008.81	$2,242.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,141.89 / $1,899.03 / $4,594.10	Facility		$1,141.89	$1,899.03	$4,594.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,912.32 / $2,176.42 / $2,317.96	Professional		$1,912.32	$2,176.42	$2,317.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,816.64	Professional		$32.34	$32.34	$1,816.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,176.42 / $2,382.07 / $2,411.65	Professional		$2,176.42	$2,382.07	$2,411.65
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 $1,221.55 / $1,718.56 / $2,621.81	Professional		$1,221.55	$1,718.56	$2,621.81