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 $1,184.42 / $1,203.23 / $2,093.11	Professional		$1,184.42	$1,203.23	$2,093.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,295.41 / $1,585.75 / $1,770.39	Professional		$1,295.41	$1,585.75	$1,770.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,048.69 / $1,830.08 / $2,218.69	Facility		$1,048.69	$1,830.08	$2,218.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,477.86 / $1,567.42 / $1,791.34	Professional		$1,477.86	$1,567.42	$1,791.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,291.89 / $1,625.29	Professional		$32.34	$1,291.89	$1,625.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,407.14 / $1,407.14 / $1,731.62	Professional		$1,407.14	$1,407.14	$1,731.62
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 $965.40 / $1,292.59 / $1,979.51	Professional		$965.40	$1,292.59	$1,979.51