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 $925.94 / $1,067.36 / $2,455.56	Professional		$925.94	$1,067.36	$2,455.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,128.08 / $1,380.93 / $1,541.72	Professional		$1,128.08	$1,380.93	$1,541.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $776.05 / $1,310.39 / $3,143.12	Facility		$776.05	$1,310.39	$3,143.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,291.59 / $1,369.88 / $1,565.58	Professional		$1,291.59	$1,369.88	$1,565.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,234.63 / $1,375.73	Professional		$32.34	$1,234.63	$1,375.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,486.97 / $1,607.60 / $1,638.05	Professional		$1,486.97	$1,607.60	$1,638.05
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 $914.03 / $1,279.42 / $1,786.35	Professional		$914.03	$1,279.42	$1,786.35