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 $1,300.49 / $1,813.37 / $3,823.87	Professional		$1,300.49	$1,813.37	$3,823.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,252.17 / $2,022.73 / $2,495.04	Professional		$1,252.17	$2,022.73	$2,495.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,285.49 / $2,321.11 / $4,053.30	Facility		$1,285.49	$2,321.11	$4,053.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,142.87 / $2,272.73 / $2,597.42	Professional		$2,142.87	$2,272.73	$2,597.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,036.72	Professional		$32.34	$32.34	$2,036.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,263.83 / $2,649.22 / $2,693.78	Professional		$2,263.83	$2,649.22	$2,693.78
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 $1,363.65 / $1,854.24 / $2,875.64	Professional		$1,363.65	$1,854.24	$2,875.64