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 $515.44 / $879.98 / $1,390.92	Professional		$515.44	$879.98	$1,390.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.02 / $149.02 / $149.44	Facility		$149.02	$149.02	$149.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $667.91 / $877.66 / $1,202.09	Professional		$667.91	$877.66	$1,202.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $502.25 / $1,070.14 / $1,599.56	Facility		$502.25	$1,070.14	$1,599.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $785.10 / $1,107.46 / $1,342.38	Professional		$785.10	$1,107.46	$1,342.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $966.38 / $1,215.77	Professional		$32.34	$966.38	$1,215.77
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $440.33 / $586.41 / $967.46	Facility		$440.33	$586.41	$967.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $819.20 / $1,152.53 / $1,388.65	Professional		$819.20	$1,152.53	$1,388.65
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 $809.55 / $1,083.79 / $1,650.04	Professional		$809.55	$1,083.79	$1,650.04