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 $1,075.51 / $1,130.79 / $2,010.50	Professional		$1,075.51	$1,130.79	$2,010.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.78 / $1,406.26 / $1,570.00	Professional		$1,148.78	$1,406.26	$1,570.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,062.97 / $1,516.70 / $2,131.13	Facility		$1,062.97	$1,516.70	$2,131.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,429.30 / $1,484.34 / $1,732.48	Professional		$1,429.30	$1,484.34	$1,732.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,165.91 / $1,466.79	Professional		$32.34	$1,165.91	$1,466.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,772.89 / $1,772.89 / $1,950.06	Professional		$1,772.89	$1,772.89	$1,950.06
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 $900.22 / $1,184.49 / $1,855.44	Professional		$900.22	$1,184.49	$1,855.44