Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,415.00 / $4,500.00 / $8,439.00	Facility		$4,415.00	$4,500.00	$8,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $836.99 / $939.14 / $1,394.68	Professional		$836.99	$939.14	$1,394.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,118.43 / $1,369.11 / $1,528.52	Professional		$1,118.43	$1,369.11	$1,528.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $925.63 / $1,394.68 / $1,623.40	Facility		$925.63	$1,394.68	$1,623.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,282.53 / $1,360.26 / $1,554.58	Professional		$1,282.53	$1,360.26	$1,554.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,248.38 / $1,391.05	Professional		$32.34	$1,248.38	$1,391.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,232.20 / $1,232.20 / $1,503.62	Professional		$1,232.20	$1,232.20	$1,503.62
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 $833.31 / $1,181.39 / $1,708.66	Professional		$833.31	$1,181.39	$1,708.66