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 $1,482.41 / $1,679.51 / $3,894.77	Professional		$1,482.41	$1,679.51	$3,894.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,780.59 / $2,179.67 / $2,433.46	Professional		$1,780.59	$2,179.67	$2,433.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,543.98 / $2,062.81 / $4,985.31	Facility		$1,543.98	$2,062.81	$4,985.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,076.16 / $2,362.58 / $2,516.56	Professional		$2,076.16	$2,362.58	$2,516.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,972.48 / $2,197.90	Professional		$32.34	$1,972.48	$2,197.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,362.57 / $2,586.02 / $2,617.76	Professional		$2,362.57	$2,586.02	$2,617.76
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 $1,368.57 / $2,036.26 / $3,034.13	Professional		$1,368.57	$2,036.26	$3,034.13