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 $784.37 / $845.88 / $1,104.70	Professional		$784.37	$845.88	$1,104.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,183.70 / $1,449.01 / $1,617.72	Professional		$1,183.70	$1,449.01	$1,617.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $784.37 / $1,121.65 / $1,726.15	Facility		$784.37	$1,121.65	$1,726.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,382.32 / $1,466.10 / $1,675.54	Professional		$1,382.32	$1,466.10	$1,675.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,166.22 / $1,467.18	Professional		$32.34	$1,166.22	$1,467.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,319.67 / $1,319.67 / $1,571.47	Professional		$1,319.67	$1,319.67	$1,571.47
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 $909.82 / $1,231.42 / $1,865.54	Professional		$909.82	$1,231.42	$1,865.54