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 $1,037.01 / $1,433.08 / $3,037.22	Professional		$1,037.01	$1,433.08	$3,037.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,078.98 / $1,646.64 / $1,985.65	Professional		$1,078.98	$1,646.64	$1,985.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,093.08 / $1,834.34 / $3,219.45	Facility		$1,093.08	$1,834.34	$3,219.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,704.70 / $1,808.01 / $2,066.30	Professional		$1,704.70	$1,808.01	$2,066.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,438.49 / $1,809.72	Professional		$32.34	$1,438.49	$1,809.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,800.42 / $2,103.26 / $2,138.64	Professional		$1,800.42	$2,103.26	$2,138.64
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 $1,157.40 / $1,510.18 / $2,280.67	Professional		$1,157.40	$1,510.18	$2,280.67