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 $1,128.29 / $1,147.33 / $1,999.02	Professional		$1,128.29	$1,147.33	$1,999.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,236.63 / $1,513.80 / $1,690.06	Professional		$1,236.63	$1,513.80	$1,690.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,002.73 / $1,751.19 / $2,118.96	Facility		$1,002.73	$1,751.19	$2,118.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,413.29 / $1,498.95 / $1,713.08	Professional		$1,413.29	$1,498.95	$1,713.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,235.60 / $1,554.48	Professional		$32.34	$1,235.60	$1,554.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,345.25 / $1,345.25 / $1,650.95	Professional		$1,345.25	$1,345.25	$1,650.95
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 $917.76 / $1,173.59 / $1,881.82	Professional		$917.76	$1,173.59	$1,881.82