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 $1,281.38 / $1,774.38 / $3,761.99	Professional		$1,281.38	$1,774.38	$3,761.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,255.60 / $1,993.50 / $2,451.00	Professional		$1,255.60	$1,993.50	$2,451.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,267.42 / $2,271.21 / $3,987.71	Facility		$1,267.42	$2,271.21	$3,987.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,114.59 / $2,242.75 / $2,563.14	Professional		$2,114.59	$2,242.75	$2,563.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,779.45 / $2,238.66	Professional		$32.34	$1,779.45	$2,238.66
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,231.54 / $2,609.27 / $2,653.16	Professional		$2,231.54	$2,609.27	$2,653.16
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 $1,368.72 / $1,818.24 / $2,829.03	Professional		$1,368.72	$1,818.24	$2,829.03