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 $1,359.93 / $1,869.45 / $3,981.84	Professional		$1,359.93	$1,869.45	$3,981.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,411.79 / $2,160.25 / $2,605.01	Professional		$1,411.79	$2,160.25	$2,605.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,442.91 / $2,503.96 / $4,220.75	Facility		$1,442.91	$2,503.96	$4,220.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,226.67 / $2,361.63 / $2,699.00	Professional		$2,226.67	$2,361.63	$2,699.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,878.15 / $2,362.83	Professional		$32.34	$1,878.15	$2,362.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,355.61 / $2,756.04 / $2,797.36	Professional		$2,355.61	$2,756.04	$2,797.36
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 $1,522.50 / $1,964.64 / $3,097.40	Professional		$1,522.50	$1,964.64	$3,097.40