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 $1,750.47 / $2,436.14 / $5,224.46	Professional		$1,750.47	$2,436.14	$5,224.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,813.43 / $2,766.50 / $3,418.06	Professional		$1,813.43	$2,766.50	$3,418.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,751.72 / $3,124.38 / $5,537.93	Facility		$1,751.72	$3,124.38	$5,537.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,836.17 / $3,008.06 / $3,437.78	Professional		$2,836.17	$3,008.06	$3,437.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $2,468.33 / $3,105.32	Professional		$32.34	$2,468.33	$3,105.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,003.71 / $3,524.20 / $3,577.27	Professional		$3,003.71	$3,524.20	$3,577.27
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 $1,911.53 / $2,516.16 / $3,878.49	Professional		$1,911.53	$2,516.16	$3,878.49