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 $1,092.39 / $1,344.51 / $2,519.82	Professional		$1,092.39	$1,344.51	$2,519.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $985.32 / $1,535.34 / $1,823.21	Professional		$985.32	$1,535.34	$1,823.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $962.32 / $1,614.15 / $2,897.79	Facility		$962.32	$1,614.15	$2,897.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,790.09 / $1,898.58 / $2,441.73	Professional		$1,790.09	$1,898.58	$2,441.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,459.15 / $1,835.71	Professional		$32.34	$1,459.15	$1,835.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,889.92 / $2,223.44 / $2,441.73	Professional		$1,889.92	$2,223.44	$2,441.73
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 $893.80 / $1,346.77 / $2,098.44	Professional		$893.80	$1,346.77	$2,098.44