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 $1,104.73 / $1,568.46 / $3,559.32	Professional		$1,104.73	$1,568.46	$3,559.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,631.38 / $1,997.03 / $2,229.56	Professional		$1,631.38	$1,997.03	$2,229.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,404.30 / $1,938.83 / $4,555.93	Facility		$1,404.30	$1,938.83	$4,555.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,911.24 / $2,170.10 / $2,316.66	Professional		$1,911.24	$2,170.10	$2,316.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,820.86 / $2,028.96	Professional		$32.34	$1,820.86	$2,028.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,170.10 / $2,376.73 / $2,402.83	Professional		$2,170.10	$2,376.73	$2,402.83
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 $1,105.17 / $1,583.47 / $2,567.06	Professional		$1,105.17	$1,583.47	$2,567.06