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 $1,235.18 / $1,252.15 / $2,168.36	Professional		$1,235.18	$1,252.15	$2,168.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,347.68 / $1,649.74 / $1,841.83	Professional		$1,347.68	$1,649.74	$1,841.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,074.57 / $1,884.60 / $2,298.46	Facility		$1,074.57	$1,884.60	$2,298.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,514.68 / $1,606.48 / $1,835.98	Professional		$1,514.68	$1,606.48	$1,835.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,495.32	Professional		$32.34	$32.34	$1,495.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,441.92 / $1,441.92 / $1,791.96	Professional		$1,441.92	$1,441.92	$1,791.96
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 $999.32 / $1,371.50 / $2,049.06	Professional		$999.32	$1,371.50	$2,049.06