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 $871.32 / $1,027.11 / $2,328.40	Professional		$871.32	$1,027.11	$2,328.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,063.61 / $1,302.01 / $1,453.61	Professional		$1,063.61	$1,302.01	$1,453.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $918.62 / $1,271.58 / $2,980.35	Facility		$918.62	$1,271.58	$2,980.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,247.83 / $1,422.65 / $1,512.52	Professional		$1,247.83	$1,422.65	$1,512.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,194.61 / $1,331.15	Professional		$32.34	$1,194.61	$1,331.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,422.65 / $1,546.28 / $1,568.21	Professional		$1,422.65	$1,546.28	$1,568.21
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 $651.05 / $1,077.75 / $1,668.70	Professional		$651.05	$1,077.75	$1,668.70