Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,897.00 / $4,500.00 / $7,761.00	Facility		$2,897.00	$4,500.00	$7,761.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,089.46 / $1,525.44 / $3,195.29	Professional		$1,089.46	$1,525.44	$3,195.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,077.96 / $1,695.83 / $2,084.36	Professional		$1,077.96	$1,695.83	$2,084.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,331.03 / $2,062.71 / $3,514.82	Facility		$1,331.03	$2,062.71	$3,514.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,794.89 / $1,903.67 / $2,175.62	Professional		$1,794.89	$1,903.67	$2,175.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,512.12 / $1,902.34	Professional		$32.34	$1,512.12	$1,902.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,891.06 / $2,214.44 / $2,251.69	Professional		$1,891.06	$2,214.44	$2,251.69
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 $1,150.55 / $1,534.08 / $2,392.42	Professional		$1,150.55	$1,534.08	$2,392.42