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 $853.94 / $934.87 / $1,203.14	Professional		$853.94	$934.87	$1,203.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,281.33 / $1,568.52 / $1,751.15	Professional		$1,281.33	$1,568.52	$1,751.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $853.94 / $1,203.14 / $1,795.99	Facility		$853.94	$1,203.14	$1,795.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,502.41 / $1,574.78 / $1,821.10	Professional		$1,502.41	$1,574.78	$1,821.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,267.65 / $1,594.79	Professional		$32.34	$1,267.65	$1,594.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,426.06 / $1,426.06 / $1,700.75	Professional		$1,426.06	$1,426.06	$1,700.75
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 $789.06 / $1,279.27 / $2,022.42	Professional		$789.06	$1,279.27	$2,022.42