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 $1,138.13 / $1,692.16 / $2,693.52	Professional		$1,138.13	$1,692.16	$2,693.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,236.23 / $1,710.96 / $1,970.29	Professional		$1,236.23	$1,710.96	$1,970.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,100.67 / $2,131.57 / $3,232.22	Facility		$1,100.67	$2,131.57	$3,232.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,021.73 / $2,160.32 / $2,615.88	Professional		$2,021.73	$2,160.32	$2,615.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,648.58 / $1,861.30	Professional		$32.34	$1,648.58	$1,861.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,132.96 / $2,509.37 / $2,615.88	Professional		$2,132.96	$2,509.37	$2,615.88
United Facility/Professional Facility Modifier Low / Median / High Price $4,800.00 / $12,000.00 / $65,746.00	Facility		$4,800.00	$12,000.00	$65,746.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,259.69 / $1,723.80 / $2,350.40	Professional		$1,259.69	$1,723.80	$2,350.40