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 $1,830.77 / $2,534.44 / $5,465.22	Professional		$1,830.77	$2,534.44	$5,465.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,907.50 / $2,909.78 / $3,574.19	Professional		$1,907.50	$2,909.78	$3,574.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,004.01 / $3,244.08 / $5,793.13	Facility		$2,004.01	$3,244.08	$5,793.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,962.13 / $3,141.65 / $3,590.46	Professional		$2,962.13	$3,141.65	$3,590.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,912.26	Professional		$32.34	$32.34	$2,912.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,135.15 / $3,688.41 / $3,736.36	Professional		$3,135.15	$3,688.41	$3,736.36
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 $2,029.29 / $2,710.50 / $4,020.91	Professional		$2,029.29	$2,710.50	$4,020.91