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 $1,433.28 / $1,479.38 / $2,582.92	Professional		$1,433.28	$1,479.38	$2,582.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,599.05 / $1,957.44 / $2,185.36	Professional		$1,599.05	$1,957.44	$2,185.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,288.70 / $2,264.57 / $2,737.91	Facility		$1,288.70	$2,264.57	$2,737.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,818.38 / $1,928.59 / $2,204.10	Professional		$1,818.38	$1,928.59	$2,204.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,591.40 / $2,002.08	Professional		$32.34	$1,591.40	$2,002.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,732.96 / $1,732.96 / $2,130.61	Professional		$1,732.96	$1,732.96	$2,130.61
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 $1,154.30 / $1,517.41 / $2,436.08	Professional		$1,154.30	$1,517.41	$2,436.08