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 $1,313.62 / $1,328.74 / $2,309.13	Professional		$1,313.62	$1,328.74	$2,309.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,428.22 / $1,748.33 / $1,951.90	Professional		$1,428.22	$1,748.33	$1,951.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,179.93 / $1,902.85 / $2,447.67	Facility		$1,179.93	$1,902.85	$2,447.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,635.32 / $1,734.43 / $1,982.20	Professional		$1,635.32	$1,734.43	$1,982.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,410.44 / $1,774.42	Professional		$32.34	$1,410.44	$1,774.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,566.72 / $1,566.72 / $1,908.99	Professional		$1,566.72	$1,566.72	$1,908.99
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 $1,013.88 / $1,467.99 / $2,206.67	Professional		$1,013.88	$1,467.99	$2,206.67