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 $1,314.10 / $1,540.54 / $3,499.69	Professional		$1,314.10	$1,540.54	$3,499.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,604.21 / $1,963.77 / $2,192.42	Professional		$1,604.21	$1,963.77	$2,192.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,390.42 / $1,903.26 / $4,479.60	Facility		$1,390.42	$1,903.26	$4,479.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,877.09 / $2,132.98 / $2,275.26	Professional		$1,877.09	$2,132.98	$2,275.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,788.05 / $1,992.39	Professional		$32.34	$1,788.05	$1,992.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,132.98 / $2,334.75 / $2,361.46	Professional		$2,132.98	$2,334.75	$2,361.46
United Facility/Professional Facility Modifier Low / Median / High Price $12,798.00 / $37,291.00 / $39,332.00	Facility		$12,798.00	$37,291.00	$39,332.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,186.14 / $1,618.98 / $2,526.36	Professional		$1,186.14	$1,618.98	$2,526.36