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 $1,059.35 / $1,314.02 / $2,980.75	Professional		$1,059.35	$1,314.02	$2,980.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,366.04 / $1,672.21 / $1,866.92	Professional		$1,366.04	$1,672.21	$1,866.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,040.73 / $1,624.72 / $3,815.36	Facility		$1,040.73	$1,624.72	$3,815.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,601.16 / $1,816.28 / $1,940.80	Professional		$1,601.16	$1,816.28	$1,940.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,525.32 / $1,699.64	Professional		$32.34	$1,525.32	$1,699.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,816.27 / $1,990.84 / $2,010.27	Professional		$1,816.27	$1,990.84	$2,010.27
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 $978.83 / $1,365.30 / $2,146.73	Professional		$978.83	$1,365.30	$2,146.73