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 $271.11 / $403.68 / $679.31	Professional		$271.11	$403.68	$679.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.78 / $154.78 / $155.22	Facility		$154.78	$154.78	$155.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $342.29 / $478.45 / $576.96	Professional		$342.29	$478.45	$576.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $299.81 / $541.85 / $765.60	Facility		$299.81	$541.85	$765.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $517.17 / $590.40 / $732.09	Professional		$517.17	$590.40	$732.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $475.60 / $598.34	Professional		$32.34	$475.60	$598.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $425.11 / $563.48 / $714.51	Facility		$425.11	$563.48	$714.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $505.95 / $638.51 / $732.09	Professional		$505.95	$638.51	$732.09
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 $345.80 / $486.20 / $663.86	Professional		$345.80	$486.20	$663.86