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 $1,278.97 / $1,448.47 / $3,359.64	Professional		$1,278.97	$1,448.47	$3,359.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,536.62 / $1,881.02 / $2,100.04	Professional		$1,536.62	$1,881.02	$2,100.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,333.16 / $1,778.59 / $4,300.34	Facility		$1,333.16	$1,778.59	$4,300.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,791.69 / $2,037.90 / $2,171.73	Professional		$1,791.69	$2,037.90	$2,171.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,701.46 / $1,895.91	Professional		$32.34	$1,701.46	$1,895.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,037.90 / $2,229.44 / $2,258.42	Professional		$2,037.90	$2,229.44	$2,258.42
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 $1,197.45 / $1,712.35 / $2,590.02	Professional		$1,197.45	$1,712.35	$2,590.02