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 $1,060.16 / $1,203.18 / $2,787.22	Professional		$1,060.16	$1,203.18	$2,787.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,273.23 / $1,558.60 / $1,740.08	Professional		$1,273.23	$1,558.60	$1,740.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,103.80 / $1,514.74 / $3,567.64	Facility		$1,103.80	$1,514.74	$3,567.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,485.33 / $1,691.11 / $1,800.40	Professional		$1,485.33	$1,691.11	$1,800.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,411.94 / $1,573.30	Professional		$32.34	$1,411.94	$1,573.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,691.11 / $1,850.20 / $1,873.99	Professional		$1,691.11	$1,850.20	$1,873.99
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 $990.66 / $1,343.25 / $2,031.30	Professional		$990.66	$1,343.25	$2,031.30