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 $828.80 / $930.48 / $1,381.01	Professional		$828.80	$930.48	$1,381.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,107.36 / $1,355.57 / $1,513.41	Professional		$1,107.36	$1,355.57	$1,513.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $918.46 / $1,381.01 / $1,579.81	Facility		$918.46	$1,381.01	$1,579.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,271.84 / $1,348.94 / $1,541.64	Professional		$1,271.84	$1,348.94	$1,541.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,095.94 / $1,378.77	Professional		$32.34	$1,095.94	$1,378.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,220.95 / $1,220.95 / $1,488.45	Professional		$1,220.95	$1,220.95	$1,488.45
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 $754.02 / $1,064.43 / $1,581.67	Professional		$754.02	$1,064.43	$1,581.67