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 $1,254.78 / $1,265.49 / $1,895.02	Professional		$1,254.78	$1,265.49	$1,895.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,500.15 / $1,829.09 / $2,050.19	Professional		$1,500.15	$1,829.09	$2,050.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,238.10 / $1,810.33 / $2,056.33	Facility		$1,238.10	$1,810.33	$2,056.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,732.45 / $1,732.45 / $2,099.94	Professional		$1,732.45	$1,732.45	$2,099.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,505.16 / $1,893.59	Professional		$32.34	$1,505.16	$1,893.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,659.82 / $1,659.82 / $2,041.61	Professional		$1,659.82	$1,659.82	$2,041.61
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 $1,096.76 / $1,550.00 / $2,167.44	Professional		$1,096.76	$1,550.00	$2,167.44