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 $990.48 / $1,163.38 / $2,642.80	Professional		$990.48	$1,163.38	$2,642.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,209.52 / $1,480.62 / $1,653.02	Professional		$1,209.52	$1,480.62	$1,653.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,038.43 / $1,438.12 / $3,382.78	Facility		$1,038.43	$1,438.12	$3,382.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,413.29 / $1,612.24 / $1,713.08	Professional		$1,413.29	$1,612.24	$1,713.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,352.26 / $1,506.80	Professional		$32.34	$1,352.26	$1,506.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,612.24 / $1,753.56 / $1,777.04	Professional		$1,612.24	$1,753.56	$1,777.04
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 $927.50 / $1,217.71 / $1,901.79	Professional		$927.50	$1,217.71	$1,901.79