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 $1,085.13 / $1,498.65 / $3,170.41	Professional		$1,085.13	$1,498.65	$3,170.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,045.06 / $1,689.36 / $2,071.69	Professional		$1,045.06	$1,689.36	$2,071.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,075.46 / $1,918.27 / $3,360.63	Facility		$1,075.46	$1,918.27	$3,360.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,794.36 / $1,903.11 / $2,174.98	Professional		$1,794.36	$1,903.11	$2,174.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,510.57 / $1,900.39	Professional		$32.34	$1,510.57	$1,900.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,895.02 / $2,218.44 / $2,255.76	Professional		$1,895.02	$2,218.44	$2,255.76
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 $1,162.45 / $1,578.29 / $2,433.90	Professional		$1,162.45	$1,578.29	$2,433.90