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 $815.08 / $999.66 / $2,296.90	Professional		$815.08	$999.66	$2,296.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,055.80 / $1,292.44 / $1,442.93	Professional		$1,055.80	$1,292.44	$1,442.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $726.80 / $1,227.79 / $2,940.03	Facility		$726.80	$1,227.79	$2,940.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,209.95 / $1,283.28 / $1,466.60	Professional		$1,209.95	$1,283.28	$1,466.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,288.42	Professional		$32.34	$32.34	$1,288.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,391.24 / $1,504.96 / $1,532.28	Professional		$1,391.24	$1,504.96	$1,532.28
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 $814.18 / $1,134.00 / $1,669.44	Professional		$814.18	$1,134.00	$1,669.44