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 $1,229.72 / $1,808.96 / $3,832.51	Professional		$1,229.72	$1,808.96	$3,832.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,303.43 / $2,034.18 / $2,498.46	Professional		$1,303.43	$2,034.18	$2,498.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,315.33 / $2,315.46 / $4,062.46	Facility		$1,315.33	$2,315.46	$4,062.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,152.46 / $2,282.92 / $2,609.06	Professional		$2,152.46	$2,282.92	$2,609.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,045.51	Professional		$32.34	$32.34	$2,045.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,272.33 / $2,657.21 / $2,701.91	Professional		$2,272.33	$2,657.21	$2,701.91
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 $1,383.11 / $1,882.57 / $2,883.04	Professional		$1,383.11	$1,882.57	$2,883.04