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 $1,375.45 / $1,558.10 / $3,614.04	Professional		$1,375.45	$1,558.10	$3,614.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,651.08 / $2,021.14 / $2,256.46	Professional		$1,651.08	$2,021.14	$2,256.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,432.10 / $1,913.98 / $4,625.97	Facility		$1,432.10	$1,913.98	$4,625.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,926.19 / $2,192.42 / $2,334.78	Professional		$1,926.19	$2,192.42	$2,334.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,830.34 / $2,039.52	Professional		$32.34	$1,830.34	$2,039.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,192.42 / $2,399.40 / $2,429.27	Professional		$2,192.42	$2,399.40	$2,429.27
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 $1,285.51 / $1,830.00 / $2,794.50	Professional		$1,285.51	$1,830.00	$2,794.50