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 $1,296.81 / $1,773.21 / $3,790.67	Professional		$1,296.81	$1,773.21	$3,790.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,342.11 / $2,060.88 / $2,485.17	Professional		$1,342.11	$2,060.88	$2,485.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,564.10 / $2,269.71 / $4,359.27	Facility		$1,564.10	$2,269.71	$4,359.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,109.23 / $2,237.08 / $2,556.66	Professional		$2,109.23	$2,237.08	$2,556.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,237.29	Professional		$32.34	$32.34	$2,237.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,234.38 / $2,614.60 / $2,658.58	Professional		$2,234.38	$2,614.60	$2,658.58
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 $1,444.15 / $1,954.50 / $2,959.41	Professional		$1,444.15	$1,954.50	$2,959.41