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 $1,174.11 / $1,212.68 / $2,114.40	Professional		$1,174.11	$1,212.68	$2,114.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,307.95 / $1,601.11 / $1,787.53	Professional		$1,307.95	$1,601.11	$1,787.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,059.92 / $1,851.94 / $2,241.26	Facility		$1,059.92	$1,851.94	$2,241.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,493.88 / $1,584.42 / $1,810.76	Professional		$1,493.88	$1,584.42	$1,810.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,474.62 / $1,643.15	Professional		$32.34	$1,474.62	$1,643.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,421.46 / $1,421.46 / $1,745.09	Professional		$1,421.46	$1,421.46	$1,745.09
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 $971.17 / $1,348.47 / $1,991.34	Professional		$971.17	$1,348.47	$1,991.34