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 $1,275.61 / $1,757.81 / $3,790.15	Professional		$1,275.61	$1,757.81	$3,790.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,271.40 / $2,001.87 / $2,468.39	Professional		$1,271.40	$2,001.87	$2,468.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,287.94 / $2,317.91 / $4,017.56	Facility		$1,287.94	$2,317.91	$4,017.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,071.89 / $2,197.46 / $2,511.38	Professional		$2,071.89	$2,197.46	$2,511.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,803.16 / $2,268.48	Professional		$32.34	$1,803.16	$2,268.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,189.62 / $2,559.34 / $2,602.39	Professional		$2,189.62	$2,559.34	$2,602.39
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 $1,352.53 / $1,829.89 / $2,903.95	Professional		$1,352.53	$1,829.89	$2,903.95