Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,415.00 / $4,500.00 / $8,439.00	Facility		$4,415.00	$4,500.00	$8,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,154.34 / $1,174.70 / $2,047.52	Professional		$1,154.34	$1,174.70	$2,047.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,268.07 / $1,552.28 / $1,733.02	Professional		$1,268.07	$1,552.28	$1,733.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,024.53 / $1,796.70 / $2,170.37	Facility		$1,024.53	$1,796.70	$2,170.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,444.77 / $1,532.34 / $1,751.24	Professional		$1,444.77	$1,532.34	$1,751.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,263.76 / $1,589.89	Professional		$32.34	$1,263.76	$1,589.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,375.94 / $1,375.94 / $1,690.42	Professional		$1,375.94	$1,375.94	$1,690.42
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 $941.94 / $1,304.49 / $1,931.40	Professional		$941.94	$1,304.49	$1,931.40