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 $850.65 / $957.05 / $1,598.03	Professional		$850.65	$957.05	$1,598.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.34 / $1,252.71 / $1,398.57	Professional		$1,023.34	$1,252.71	$1,398.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $804.24 / $1,366.35 / $1,693.91	Facility		$804.24	$1,366.35	$1,693.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,133.08 / $1,201.76 / $1,373.44	Professional		$1,133.08	$1,201.76	$1,373.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $990.19 / $1,245.72	Professional		$32.34	$990.19	$1,245.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,079.78 / $1,079.78 / $1,379.19	Professional		$1,079.78	$1,079.78	$1,379.19
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 $766.54 / $1,061.82 / $1,571.75	Professional		$766.54	$1,061.82	$1,571.75