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 $1,037.58 / $1,452.23 / $3,050.34	Professional		$1,037.58	$1,452.23	$3,050.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,057.08 / $1,615.46 / $1,987.10	Professional		$1,057.08	$1,615.46	$1,987.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,073.33 / $1,858.85 / $3,233.36	Facility		$1,073.33	$1,858.85	$3,233.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,708.43 / $1,811.97 / $2,070.82	Professional		$1,708.43	$1,811.97	$2,070.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,439.22 / $1,810.63	Professional		$32.34	$1,439.22	$1,810.63
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,806.08 / $2,112.58 / $2,148.12	Professional		$1,806.08	$2,112.58	$2,148.12
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 $1,087.18 / $1,445.28 / $2,279.94	Professional		$1,087.18	$1,445.28	$2,279.94