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 $1,074.16 / $1,483.68 / $2,001.04	Professional		$1,074.16	$1,483.68	$2,001.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,005.22 / $1,774.12 / $2,174.89	Professional		$1,005.22	$1,774.12	$2,174.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,118.80 / $1,899.11 / $2,364.14	Facility		$1,118.80	$1,899.11	$2,364.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,873.89 / $1,987.46 / $2,271.38	Professional		$1,873.89	$1,987.46	$2,271.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,576.49 / $1,983.33	Professional		$32.34	$1,576.49	$1,983.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,516.93 / $1,784.62 / $2,121.21	Professional		$1,516.93	$1,784.62	$2,121.21
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 $1,193.48 / $1,625.76 / $2,411.16	Professional		$1,193.48	$1,625.76	$2,411.16