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 $1,106.06 / $1,256.31 / $2,908.59	Professional		$1,106.06	$1,256.31	$2,908.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,327.21 / $1,624.68 / $1,813.86	Professional		$1,327.21	$1,624.68	$1,813.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,155.56 / $1,545.09 / $3,723.00	Facility		$1,155.56	$1,545.09	$3,723.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,555.26 / $1,766.70 / $1,885.16	Professional		$1,555.26	$1,766.70	$1,885.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,478.47 / $1,647.44	Professional		$32.34	$1,478.47	$1,647.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,766.70 / $1,934.18 / $1,957.39	Professional		$1,766.70	$1,934.18	$1,957.39
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 $1,032.52 / $1,516.33 / $2,260.63	Professional		$1,032.52	$1,516.33	$2,260.63