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 $1,230.04 / $1,438.10 / $3,279.22	Professional		$1,230.04	$1,438.10	$3,279.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,498.22 / $1,834.03 / $2,047.57	Professional		$1,498.22	$1,834.03	$2,047.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,155.77 / $1,776.26 / $4,197.39	Facility		$1,155.77	$1,776.26	$4,197.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,822.64 / $2,006.49 / $2,209.26	Professional		$1,822.64	$2,006.49	$2,209.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,736.89 / $1,935.39	Professional		$32.34	$1,736.89	$1,935.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,006.48 / $2,232.78 / $2,232.78	Professional		$2,006.48	$2,232.78	$2,232.78
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 $1,155.58 / $1,616.99 / $2,369.48	Professional		$1,155.58	$1,616.99	$2,369.48