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 $802.10 / $1,034.99 / $1,693.85	Professional		$802.10	$1,034.99	$1,693.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $969.83 / $1,187.20 / $1,325.43	Professional		$969.83	$1,187.20	$1,325.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $843.75 / $1,235.08 / $1,795.48	Facility		$843.75	$1,235.08	$1,795.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,140.02 / $1,209.10 / $1,381.84	Professional		$1,140.02	$1,209.10	$1,381.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $78.00 / $1,210.66	Professional		$30.00	$78.00	$1,210.66
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,293.13 / $1,416.31 / $1,431.94	Professional		$1,293.13	$1,416.31	$1,431.94
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 $731.74 / $1,033.48 / $1,577.52	Professional		$731.74	$1,033.48	$1,577.52