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 $1,082.97 / $1,490.27 / $3,208.15	Professional		$1,082.97	$1,490.27	$3,208.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,127.39 / $1,705.75 / $2,074.82	Professional		$1,127.39	$1,705.75	$2,074.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,263.69 / $1,976.97 / $3,400.64	Facility		$1,263.69	$1,976.97	$3,400.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,763.40 / $1,870.28 / $2,137.46	Professional		$1,763.40	$1,870.28	$2,137.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,726.18	Professional		$32.34	$32.34	$1,726.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,866.13 / $2,184.48 / $2,212.91	Professional		$1,866.13	$2,184.48	$2,212.91
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 $1,182.23 / $1,510.64 / $2,314.71	Professional		$1,182.23	$1,510.64	$2,314.71