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 $1,149.13 / $1,303.44 / $3,020.46	Professional		$1,149.13	$1,303.44	$3,020.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.24 / $1,689.59 / $1,886.32	Professional		$1,380.24	$1,689.59	$1,886.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,197.08 / $1,601.56 / $3,866.19	Facility		$1,197.08	$1,601.56	$3,866.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,610.22 / $1,832.44 / $1,951.78	Professional		$1,610.22	$1,832.44	$1,951.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,530.17 / $1,705.04	Professional		$32.34	$1,530.17	$1,705.04
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,832.44 / $2,004.83 / $2,030.61	Professional		$1,832.44	$2,004.83	$2,030.61
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 $1,059.68 / $1,521.48 / $2,348.98	Professional		$1,059.68	$1,521.48	$2,348.98