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 $1,480.46 / $1,715.79 / $3,933.75	Professional		$1,480.46	$1,715.79	$3,933.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,806.29 / $2,211.14 / $2,468.59	Professional		$1,806.29	$2,211.14	$2,468.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,536.43 / $2,109.94 / $5,035.20	Facility		$1,536.43	$2,109.94	$5,035.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,081.48 / $2,387.83 / $2,523.02	Professional		$2,081.48	$2,387.83	$2,523.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,989.75 / $2,217.15	Professional		$32.34	$1,989.75	$2,217.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,387.82 / $2,586.02 / $2,630.64	Professional		$2,387.82	$2,586.02	$2,630.64
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 $1,361.62 / $1,873.36 / $2,853.43	Professional		$1,361.62	$1,873.36	$2,853.43