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 $917.13 / $931.50 / $1,619.52	Professional		$917.13	$931.50	$1,619.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,001.83 / $1,226.36 / $1,369.17	Professional		$1,001.83	$1,226.36	$1,369.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $813.83 / $1,415.89 / $1,716.69	Facility		$813.83	$1,415.89	$1,716.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,146.42 / $1,215.90 / $1,389.60	Professional		$1,146.42	$1,215.90	$1,389.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,001.78 / $1,260.30	Professional		$32.34	$1,001.78	$1,260.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,091.54 / $1,091.54 / $1,338.15	Professional		$1,091.54	$1,091.54	$1,338.15
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 $700.06 / $1,032.91 / $1,623.15	Professional		$700.06	$1,032.91	$1,623.15