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 $1,411.49 / $1,622.18 / $3,722.87	Professional		$1,411.49	$1,622.18	$3,722.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,704.15 / $2,086.10 / $2,329.00	Professional		$1,704.15	$2,086.10	$2,329.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,382.29 / $1,998.96 / $4,765.27	Facility		$1,382.29	$1,998.96	$4,765.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,858.94 / $2,140.60 / $2,274.23	Professional		$1,858.94	$2,140.60	$2,274.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,766.21 / $1,968.06	Professional		$32.34	$1,766.21	$1,968.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,274.23 / $2,482.71 / $2,519.44	Professional		$2,274.23	$2,482.71	$2,519.44
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 $1,279.65 / $1,737.98 / $2,712.83	Professional		$1,279.65	$1,737.98	$2,712.83