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 $1,274.27 / $1,445.82 / $3,350.54	Professional		$1,274.27	$1,445.82	$3,350.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,530.82 / $1,873.92 / $2,092.12	Professional		$1,530.82	$1,873.92	$2,092.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,328.12 / $1,776.73 / $4,288.68	Facility		$1,328.12	$1,776.73	$4,288.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,786.36 / $2,033.04 / $2,165.28	Professional		$1,786.36	$2,033.04	$2,165.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,697.41 / $1,891.40	Professional		$32.34	$1,697.41	$1,891.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,033.03 / $2,225.44 / $2,252.32	Professional		$2,033.03	$2,225.44	$2,252.32
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 $1,190.96 / $1,752.75 / $2,578.69	Professional		$1,190.96	$1,752.75	$2,578.69