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 $727.27 / $1,003.38 / $2,314.54	Professional		$727.27	$1,003.38	$2,314.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,064.01 / $1,302.49 / $1,454.15	Professional		$1,064.01	$1,302.49	$1,454.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $733.50 / $1,230.98 / $2,962.61	Facility		$733.50	$1,230.98	$2,962.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,220.08 / $1,294.02 / $1,478.88	Professional		$1,220.08	$1,294.02	$1,478.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,166.94 / $1,300.30	Professional		$32.34	$1,166.94	$1,300.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,401.40 / $1,522.95 / $1,543.81	Professional		$1,401.40	$1,522.95	$1,543.81
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 $786.95 / $1,019.70 / $1,676.84	Professional		$786.95	$1,019.70	$1,676.84