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 $970.57 / $978.81 / $1,454.79	Professional		$970.57	$978.81	$1,454.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,166.39 / $1,427.82 / $1,594.07	Professional		$1,166.39	$1,427.82	$1,594.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $966.20 / $1,454.79 / $1,668.52	Facility		$966.20	$1,454.79	$1,668.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,338.56 / $1,419.69 / $1,622.50	Professional		$1,338.56	$1,419.69	$1,622.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,153.90 / $1,451.68	Professional		$32.34	$1,153.90	$1,451.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,285.91 / $1,285.91 / $1,567.31	Professional		$1,285.91	$1,285.91	$1,567.31
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 $818.72 / $1,104.30 / $1,704.97	Professional		$818.72	$1,104.30	$1,704.97