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 $1,170.22 / $1,327.87 / $3,076.76	Professional		$1,170.22	$1,327.87	$3,076.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,405.44 / $1,720.45 / $1,920.77	Professional		$1,405.44	$1,720.45	$1,920.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,106.45 / $1,631.80 / $3,938.25	Facility		$1,106.45	$1,631.80	$3,938.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,641.72 / $1,867.35 / $1,989.96	Professional		$1,641.72	$1,867.35	$1,989.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,559.99 / $1,738.27	Professional		$32.34	$1,559.99	$1,738.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,867.34 / $2,044.82 / $2,069.26	Professional		$1,867.34	$2,044.82	$2,069.26
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 $1,093.51 / $1,590.00 / $2,242.19	Professional		$1,093.51	$1,590.00	$2,242.19