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 $803.44 / $1,110.83 / $2,349.16	Professional		$803.44	$1,110.83	$2,349.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $836.42 / $1,265.38 / $1,531.35	Professional		$836.42	$1,265.38	$1,531.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $999.06 / $1,421.86 / $2,701.53	Facility		$999.06	$1,421.86	$2,701.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,346.04 / $1,427.62 / $1,631.56	Professional		$1,346.04	$1,427.62	$1,631.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,133.28 / $1,425.74	Professional		$32.34	$1,133.28	$1,425.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,387.99 / $1,631.21 / $1,658.65	Professional		$1,387.99	$1,631.21	$1,658.65
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 $870.12 / $1,184.33 / $1,768.60	Professional		$870.12	$1,184.33	$1,768.60