Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,407.00 / $4,500.00 / $7,045.00	Facility		$1,407.00	$4,500.00	$7,045.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $664.69 / $976.10 / $1,404.54	Professional		$664.69	$976.10	$1,404.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $765.97 / $1,021.29 / $1,212.78	Professional		$765.97	$1,021.29	$1,212.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $625.65 / $1,105.13 / $1,685.45	Facility		$625.65	$1,105.13	$1,685.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,104.26 / $1,204.65 / $1,595.83	Professional		$1,104.26	$1,204.65	$1,595.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $942.52 / $1,185.76	Professional		$32.34	$942.52	$1,185.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,125.75 / $1,370.99 / $1,595.83	Professional		$1,125.75	$1,370.99	$1,595.83
United Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $1,800.00 / $9,193.00	Facility		$150.00	$1,800.00	$9,193.00
United Facility/Professional Professional Modifier Low / Median / High Price $678.24 / $978.49 / $1,346.17	Professional		$678.24	$978.49	$1,346.17