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 $1,217.61 / $1,556.84 / $2,770.40	Professional		$1,217.61	$1,556.84	$2,770.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,579.86 / $1,919.66 / $2,159.14	Professional		$1,579.86	$1,919.66	$2,159.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,182.16 / $1,918.80 / $2,936.62	Facility		$1,182.16	$1,918.80	$2,936.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,972.08 / $1,972.08 / $2,390.40	Professional		$1,972.08	$1,972.08	$2,390.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,610.16 / $2,025.68	Professional		$32.34	$1,610.16	$2,025.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,447.39 / $2,447.39 / $2,688.36	Professional		$2,447.39	$2,447.39	$2,688.36
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 $1,060.58 / $1,474.40 / $2,431.76	Professional		$1,060.58	$1,474.40	$2,431.76