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 $1,154.71 / $1,605.51 / $3,388.92	Professional		$1,154.71	$1,605.51	$3,388.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,057.73 / $1,791.02 / $2,208.98	Professional		$1,057.73	$1,791.02	$2,208.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,137.13 / $2,055.05 / $3,592.26	Facility		$1,137.13	$2,055.05	$3,592.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,903.24 / $2,018.59 / $2,306.96	Professional		$1,903.24	$2,018.59	$2,306.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,602.31 / $2,015.81	Professional		$32.34	$1,602.31	$2,015.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,008.90 / $2,350.27 / $2,389.81	Professional		$2,008.90	$2,350.27	$2,389.81
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 $1,235.86 / $1,652.52 / $2,544.12	Professional		$1,235.86	$1,652.52	$2,544.12