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 $1,133.69 / $1,580.63 / $3,323.45	Professional		$1,133.69	$1,580.63	$3,323.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,073.95 / $1,760.59 / $2,168.16	Professional		$1,073.95	$1,760.59	$2,168.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,118.75 / $2,023.21 / $3,522.86	Facility		$1,118.75	$2,023.21	$3,522.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,862.67 / $1,975.56 / $2,257.78	Professional		$1,862.67	$1,975.56	$2,257.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,771.40	Professional		$32.34	$32.34	$1,771.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,967.54 / $2,303.67 / $2,342.42	Professional		$1,967.54	$2,303.67	$2,342.42
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 $1,207.79 / $1,618.08 / $2,494.54	Professional		$1,207.79	$1,618.08	$2,494.54