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 $1,254.83 / $1,421.40 / $3,296.20	Professional		$1,254.83	$1,421.40	$3,296.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,507.67 / $1,845.59 / $2,060.48	Professional		$1,507.67	$1,845.59	$2,060.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,305.90 / $1,745.52 / $4,219.14	Facility		$1,305.90	$1,745.52	$4,219.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,755.93 / $1,998.47 / $2,128.40	Professional		$1,755.93	$1,998.47	$2,128.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,668.22 / $1,858.88	Professional		$32.34	$1,668.22	$1,858.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,998.47 / $2,187.44 / $2,214.35	Professional		$1,998.47	$2,187.44	$2,214.35
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 $1,174.72 / $1,679.85 / $2,642.48	Professional		$1,174.72	$1,679.85	$2,642.48