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 $1,377.46 / $1,558.84 / $3,617.00	Professional		$1,377.46	$1,558.84	$3,617.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,653.81 / $2,024.49 / $2,260.21	Professional		$1,653.81	$2,024.49	$2,260.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,432.35 / $1,914.05 / $4,629.76	Facility		$1,432.35	$1,914.05	$4,629.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,926.19 / $2,193.37 / $2,334.78	Professional		$1,926.19	$2,193.37	$2,334.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,830.17 / $2,039.33	Professional		$32.34	$1,830.17	$2,039.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,193.37 / $2,400.73 / $2,430.63	Professional		$2,193.37	$2,400.73	$2,430.63
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 $1,288.40 / $1,763.97 / $2,641.80	Professional		$1,288.40	$1,763.97	$2,641.80