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 $1,144.84 / $1,297.14 / $3,007.31	Professional		$1,144.84	$1,297.14	$3,007.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,375.11 / $1,683.31 / $1,883.65	Professional		$1,375.11	$1,683.31	$1,883.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,191.29 / $1,593.14 / $3,849.36	Facility		$1,191.29	$1,593.14	$3,849.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,602.22 / $1,823.96 / $1,942.08	Professional		$1,602.22	$1,823.96	$1,942.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,522.47 / $1,696.46	Professional		$32.34	$1,522.47	$1,696.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,823.96 / $1,995.50 / $2,021.12	Professional		$1,823.96	$1,995.50	$2,021.12
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 $1,096.29 / $1,673.70 / $2,458.23	Professional		$1,096.29	$1,673.70	$2,458.23