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 $1,370.98 / $1,395.78 / $2,436.54	Professional		$1,370.98	$1,395.78	$2,436.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,507.85 / $1,845.81 / $2,060.71	Professional		$1,507.85	$1,845.81	$2,060.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,217.98 / $2,134.98 / $2,582.73	Facility		$1,217.98	$2,134.98	$2,582.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,717.50 / $1,821.59 / $2,081.82	Professional		$1,717.50	$1,821.59	$2,081.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,696.17	Professional		$32.34	$32.34	$1,696.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,635.27 / $1,635.27 / $2,010.19	Professional		$1,635.27	$1,635.27	$2,010.19
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 $1,120.22 / $1,516.49 / $2,296.96	Professional		$1,120.22	$1,516.49	$2,296.96