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 $1,129.92 / $1,574.63 / $3,307.71	Professional		$1,129.92	$1,574.63	$3,307.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,037.90 / $1,753.19 / $2,158.52	Professional		$1,037.90	$1,753.19	$2,158.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,113.10 / $2,015.53 / $3,506.17	Facility		$1,113.10	$2,015.53	$3,506.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,853.07 / $1,965.37 / $2,246.14	Professional		$1,853.07	$1,965.37	$2,246.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,560.62 / $1,963.36	Professional		$32.34	$1,560.62	$1,963.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,957.91 / $2,291.67 / $2,330.23	Professional		$1,957.91	$2,291.67	$2,330.23
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 $1,206.00 / $1,611.84 / $2,484.92	Professional		$1,206.00	$1,611.84	$2,484.92