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 $942.95 / $987.21 / $1,229.09	Professional		$942.95	$987.21	$1,229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,212.57 / $1,484.34 / $1,657.17	Professional		$1,212.57	$1,484.34	$1,657.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $969.11 / $1,263.63 / $1,579.11	Facility		$969.11	$1,263.63	$1,579.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,451.18 / $1,512.78 / $1,759.00	Professional		$1,451.18	$1,512.78	$1,759.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,206.27 / $1,517.57	Professional		$32.34	$1,206.27	$1,517.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,045.42 / $1,045.42 / $1,512.77	Professional		$1,045.42	$1,045.42	$1,512.77
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 $928.35 / $1,221.50 / $1,748.90	Professional		$928.35	$1,221.50	$1,748.90