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 $1,323.26 / $1,545.34 / $3,525.06	Professional		$1,323.26	$1,545.34	$3,525.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,613.36 / $1,974.97 / $2,204.92	Professional		$1,613.36	$1,974.97	$2,204.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,383.13 / $1,906.74 / $4,512.08	Facility		$1,383.13	$1,906.74	$4,512.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,876.55 / $2,145.63 / $2,274.60	Professional		$1,876.55	$2,145.63	$2,274.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,795.36	Professional		$32.34	$32.34	$1,795.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,145.62 / $2,329.42 / $2,364.19	Professional		$2,145.62	$2,329.42	$2,364.19
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 $1,202.84 / $1,643.98 / $2,541.17	Professional		$1,202.84	$1,643.98	$2,541.17