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 $1,327.83 / $1,838.01 / $3,896.03	Professional		$1,327.83	$1,838.01	$3,896.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,327.21 / $2,054.79 / $2,539.59	Professional		$1,327.21	$2,054.79	$2,539.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,342.71 / $2,352.65 / $4,129.79	Facility		$1,342.71	$2,352.65	$4,129.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,188.25 / $2,320.87 / $2,652.42	Professional		$2,188.25	$2,320.87	$2,652.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,841.88 / $2,317.19	Professional		$32.34	$1,841.88	$2,317.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,309.15 / $2,701.82 / $2,747.27	Professional		$2,309.15	$2,701.82	$2,747.27
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 $1,426.32 / $1,862.15 / $2,931.88	Professional		$1,426.32	$1,862.15	$2,931.88