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 $1,184.27 / $1,204.60 / $2,099.76	Professional		$1,184.27	$1,204.60	$2,099.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,299.08 / $1,590.26 / $1,775.43	Professional		$1,299.08	$1,590.26	$1,775.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,052.27 / $1,839.19 / $2,225.75	Facility		$1,052.27	$1,839.19	$2,225.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,483.20 / $1,573.09 / $1,797.82	Professional		$1,483.20	$1,573.09	$1,797.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,296.83 / $1,631.51	Professional		$32.34	$1,296.83	$1,631.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,412.25 / $1,412.25 / $1,733.10	Professional		$1,412.25	$1,412.25	$1,733.10
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 $964.31 / $1,339.00 / $1,977.27	Professional		$964.31	$1,339.00	$1,977.27