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 $1,136.51 / $1,155.67 / $2,013.17	Professional		$1,136.51	$1,155.67	$2,013.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,245.64 / $1,524.83 / $1,702.37	Professional		$1,245.64	$1,524.83	$1,702.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,009.04 / $1,763.66 / $2,133.96	Facility		$1,009.04	$1,763.66	$2,133.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,422.35 / $1,508.55 / $1,724.06	Professional		$1,422.35	$1,508.55	$1,724.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,243.67 / $1,564.62	Professional		$32.34	$1,243.67	$1,564.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,353.94 / $1,353.94 / $1,663.16	Professional		$1,353.94	$1,353.94	$1,663.16
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 $924.25 / $1,179.01 / $1,895.13	Professional		$924.25	$1,179.01	$1,895.13