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 $876.38 / $952.12 / $1,172.70	Professional		$876.38	$952.12	$1,172.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $931.86 / $1,140.72 / $1,273.54	Professional		$931.86	$1,140.72	$1,273.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $738.24 / $1,172.70 / $1,429.86	Facility		$738.24	$1,172.70	$1,429.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,095.19 / $1,143.09 / $1,327.50	Professional		$1,095.19	$1,143.09	$1,327.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $924.79 / $1,163.45	Professional		$32.34	$924.79	$1,163.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,045.51 / $1,045.51 / $1,243.78	Professional		$1,045.51	$1,045.51	$1,243.78
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 $679.06 / $916.08 / $1,452.62	Professional		$679.06	$916.08	$1,452.62