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 $1,310.83 / $1,560.89 / $3,441.64	Professional		$1,310.83	$1,560.89	$3,441.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,645.94 / $2,014.85 / $2,249.46	Professional		$1,645.94	$2,014.85	$2,249.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,363.32 / $1,921.32 / $4,405.30	Facility		$1,363.32	$1,921.32	$4,405.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,833.32 / $2,086.59 / $2,222.19	Professional		$1,833.32	$2,086.59	$2,222.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,741.88 / $1,940.95	Professional		$32.34	$1,741.88	$1,940.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,086.60 / $2,283.42 / $2,311.98	Professional		$2,086.60	$2,283.42	$2,311.98
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 $1,233.49 / $1,884.69 / $2,768.14	Professional		$1,233.49	$1,884.69	$2,768.14