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 $1,024.58 / $1,162.80 / $2,692.76	Professional		$1,024.58	$1,162.80	$2,692.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,231.16 / $1,507.11 / $1,682.59	Professional		$1,231.16	$1,507.11	$1,682.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $918.41 / $1,428.95 / $3,446.73	Facility		$918.41	$1,428.95	$3,446.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,436.23 / $1,634.54 / $1,740.88	Professional		$1,436.23	$1,634.54	$1,740.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,364.91 / $1,520.90	Professional		$32.34	$1,364.91	$1,520.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,634.54 / $1,788.22 / $1,810.94	Professional		$1,634.54	$1,788.22	$1,810.94
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 $958.54 / $1,350.45 / $2,040.68	Professional		$958.54	$1,350.45	$2,040.68