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 $1,095.23 / $1,496.67 / $3,195.07	Professional		$1,095.23	$1,496.67	$3,195.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,131.44 / $1,735.74 / $2,093.10	Professional		$1,131.44	$1,735.74	$2,093.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,318.79 / $1,940.24 / $3,674.33	Facility		$1,318.79	$1,940.24	$3,674.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,778.88 / $1,886.69 / $2,156.21	Professional		$1,778.88	$1,886.69	$2,156.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,500.03 / $1,887.13	Professional		$32.34	$1,500.03	$1,887.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,882.56 / $2,204.46 / $2,241.55	Professional		$1,882.56	$2,204.46	$2,241.55
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 $1,238.29 / $1,651.51 / $2,549.84	Professional		$1,238.29	$1,651.51	$2,549.84