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 $1,164.83 / $1,463.21 / $2,554.44	Professional		$1,164.83	$1,463.21	$2,554.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,581.42 / $1,935.87 / $2,161.27	Professional		$1,581.42	$1,935.87	$2,161.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,274.74 / $2,215.30 / $2,707.72	Facility		$1,274.74	$2,215.30	$2,707.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,798.63 / $1,907.64 / $2,180.16	Professional		$1,798.63	$1,907.64	$2,180.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,777.18	Professional		$32.34	$32.34	$1,777.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,714.04 / $1,714.04 / $2,107.32	Professional		$1,714.04	$1,714.04	$2,107.32
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 $1,174.72 / $1,592.98 / $2,408.71	Professional		$1,174.72	$1,592.98	$2,408.71