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 $1,405.27 / $1,430.89 / $2,496.83	Professional		$1,405.27	$1,430.89	$2,496.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,546.14 / $1,892.68 / $2,113.06	Professional		$1,546.14	$1,892.68	$2,113.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,247.43 / $2,177.19 / $2,646.64	Facility		$1,247.43	$2,177.19	$2,646.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,759.66 / $1,866.31 / $2,132.92	Professional		$1,759.66	$1,866.31	$2,132.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,539.66 / $1,936.99	Professional		$32.34	$1,539.66	$1,936.99
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,676.19 / $1,676.19 / $2,061.04	Professional		$1,676.19	$1,676.19	$2,061.04
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 $1,149.45 / $1,588.58 / $2,356.89	Professional		$1,149.45	$1,588.58	$2,356.89