Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,897.00 / $4,500.00 / $7,761.00	Facility		$2,897.00	$4,500.00	$7,761.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $848.18 / $996.20 / $1,731.34	Professional		$848.18	$996.20	$1,731.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.17 / $1,311.25 / $1,463.93	Professional		$1,071.17	$1,311.25	$1,463.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $871.30 / $1,497.37 / $1,835.22	Facility		$871.30	$1,497.37	$1,835.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,227.02 / $1,301.39 / $1,487.30	Professional		$1,227.02	$1,301.39	$1,487.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,071.93 / $1,348.56	Professional		$32.34	$1,071.93	$1,348.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,167.24 / $1,167.24 / $1,431.06	Professional		$1,167.24	$1,167.24	$1,431.06
United Facility/Professional Facility Modifier Low / Median / High Price $5,550.00 / $12,152.00 / $12,233.00	Facility		$5,550.00	$12,152.00	$12,233.00
United Facility/Professional Professional Modifier Low / Median / High Price $636.04 / $1,009.35 / $1,630.21	Professional		$636.04	$1,009.35	$1,630.21