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 $1,668.27 / $1,822.50 / $2,268.83	Professional		$1,668.27	$1,822.50	$2,268.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,796.65 / $2,199.34 / $2,455.42	Professional		$1,796.65	$2,199.34	$2,455.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,403.48 / $2,268.83 / $2,696.76	Facility		$1,403.48	$2,268.83	$2,696.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,110.85 / $2,168.34 / $2,558.60	Professional		$2,110.85	$2,168.34	$2,558.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,797.78 / $2,261.73	Professional		$32.34	$1,797.78	$2,261.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,007.64 / $2,007.64 / $2,415.34	Professional		$2,007.64	$2,007.64	$2,415.34
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 $1,089.04 / $1,697.40 / $2,791.28	Professional		$1,089.04	$1,697.40	$2,791.28