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 $2,075.02 / $2,183.12 / $3,895.45	Professional		$2,075.02	$2,183.12	$3,895.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,223.48 / $2,721.83 / $3,038.75	Professional		$2,223.48	$2,721.83	$3,038.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,599.52 / $2,732.03 / $4,129.18	Facility		$1,599.52	$2,732.03	$4,129.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,766.26 / $2,858.70 / $3,353.04	Professional		$2,766.26	$2,858.70	$3,353.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,544.69	Professional		$32.34	$32.34	$2,544.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,437.14 / $3,437.14 / $3,773.03	Professional		$3,437.14	$3,437.14	$3,773.03
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 $1,437.55 / $1,952.28 / $3,436.41	Professional		$1,437.55	$1,952.28	$3,436.41