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 $1,352.56 / $2,019.04 / $3,317.41	Professional		$1,352.56	$2,019.04	$3,317.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,514.30 / $2,019.07 / $2,413.11	Professional		$1,514.30	$2,019.07	$2,413.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,343.40 / $2,544.48 / $3,815.02	Facility		$1,343.40	$2,544.48	$3,815.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,355.29 / $2,569.41 / $3,212.72	Professional		$2,355.29	$2,569.41	$3,212.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,919.24 / $2,414.53	Professional		$32.34	$1,919.24	$2,414.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,485.91 / $2,924.60 / $3,212.72	Professional		$2,485.91	$2,924.60	$3,212.72
United Facility/Professional Facility Modifier Low / Median / High Price $675.00 / $3,700.00 / $26,104.00	Facility		$675.00	$3,700.00	$26,104.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,514.15 / $2,064.71 / $2,881.21	Professional		$1,514.15	$2,064.71	$2,881.21