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 $991.48 / $1,332.90 / $2,286.61	Professional		$991.48	$1,332.90	$2,286.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,042.38 / $1,466.97 / $1,650.43	Professional		$1,042.38	$1,466.97	$1,650.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $898.22 / $1,691.72 / $2,743.93	Facility		$898.22	$1,691.72	$2,743.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,625.17 / $1,772.91 / $2,219.00	Professional		$1,625.17	$1,772.91	$2,219.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,328.16 / $1,499.54	Professional		$32.34	$1,328.16	$1,499.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,714.31 / $2,016.83 / $2,218.98	Professional		$1,714.31	$2,016.83	$2,218.98
United Facility/Professional Facility Modifier Low / Median / High Price $675.00 / $3,700.00 / $26,104.00	Facility		$675.00	$3,700.00	$26,104.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,048.42 / $1,464.32 / $1,971.20	Professional		$1,048.42	$1,464.32	$1,971.20