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 $899.59 / $1,052.25 / $2,393.82	Professional		$899.59	$1,052.25	$2,393.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.90 / $1,342.76 / $1,499.10	Professional		$1,096.90	$1,342.76	$1,499.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $951.95 / $1,715.00 / $3,064.09	Facility		$951.95	$1,715.00	$3,064.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,284.66 / $1,458.50 / $1,557.16	Professional		$1,284.66	$1,458.50	$1,557.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,223.36 / $1,363.19	Professional		$32.34	$1,223.36	$1,363.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,458.49 / $1,597.60 / $1,615.00	Professional		$1,458.49	$1,597.60	$1,615.00
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 $841.61 / $1,098.90 / $1,725.68	Professional		$841.61	$1,098.90	$1,725.68