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 $1,560.83 / $2,165.14 / $4,587.62	Professional		$1,560.83	$2,165.14	$4,587.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,594.27 / $2,433.28 / $2,988.38	Professional		$1,594.27	$2,433.28	$2,988.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,626.60 / $2,771.38 / $4,862.88	Facility		$1,626.60	$2,771.38	$4,862.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,576.26 / $2,732.40 / $3,122.74	Professional		$2,576.26	$2,732.40	$3,122.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,448.46	Professional		$32.34	$32.34	$2,448.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,719.89 / $3,181.19 / $3,234.71	Professional		$2,719.89	$3,181.19	$3,234.71
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 $1,654.53 / $2,187.84 / $3,444.70	Professional		$1,654.53	$2,187.84	$3,444.70