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 $965.60 / $1,324.82 / $3,362.35	Professional		$965.60	$1,324.82	$3,362.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $938.79 / $1,507.02 / $1,842.33	Professional		$938.79	$1,507.02	$1,842.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $952.50 / $1,695.77 / $2,995.04	Facility		$952.50	$1,695.77	$2,995.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,573.39 / $1,668.75 / $1,907.14	Professional		$1,573.39	$1,668.75	$1,907.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,341.17 / $1,687.28	Professional		$32.34	$1,341.17	$1,687.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,660.48 / $1,953.51 / $1,988.35	Professional		$1,660.48	$1,953.51	$1,988.35
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 $1,026.75 / $1,349.37 / $2,105.30	Professional		$1,026.75	$1,349.37	$2,105.30