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 $1,245.23 / $1,308.91 / $2,327.94	Professional		$1,245.23	$1,308.91	$2,327.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,328.58 / $1,626.35 / $1,815.72	Professional		$1,328.58	$1,626.35	$1,815.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,179.03 / $1,753.78 / $2,467.62	Facility		$1,179.03	$1,753.78	$2,467.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,656.67 / $1,691.04 / $2,008.08	Professional		$1,656.67	$1,691.04	$2,008.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,352.72 / $1,701.80	Professional		$32.34	$1,352.72	$1,701.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,056.82 / $2,056.82 / $2,258.64	Professional		$2,056.82	$2,056.82	$2,258.64
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 $1,040.46 / $1,456.19 / $2,138.78	Professional		$1,040.46	$1,456.19	$2,138.78