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 $1,255.30 / $1,277.33 / $2,228.58	Professional		$1,255.30	$1,277.33	$2,228.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,378.51 / $1,687.48 / $1,883.96	Professional		$1,378.51	$1,687.48	$1,883.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,114.53 / $1,956.84 / $2,362.29	Facility		$1,114.53	$1,956.84	$2,362.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,571.79 / $1,667.05 / $1,905.20	Professional		$1,571.79	$1,667.05	$1,905.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,374.93 / $1,729.75	Professional		$32.34	$1,374.93	$1,729.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,497.16 / $1,497.16 / $1,837.95	Professional		$1,497.16	$1,497.16	$1,837.95
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 $1,023.14 / $1,368.90 / $2,097.90	Professional		$1,023.14	$1,368.90	$2,097.90