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 $721.86 / $848.68 / $1,926.29	Professional		$721.86	$848.68	$1,926.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $882.63 / $1,080.46 / $1,206.26	Professional		$882.63	$1,080.46	$1,206.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $757.44 / $1,361.52 / $2,465.65	Facility		$757.44	$1,361.52	$2,465.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,028.48 / $1,174.94 / $1,246.64	Professional		$1,028.48	$1,174.94	$1,246.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $984.48 / $1,096.99	Professional		$32.34	$984.48	$1,096.99
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,174.93 / $1,277.01 / $1,294.98	Professional		$1,174.93	$1,277.01	$1,294.98
United Facility/Professional Facility Modifier Low / Median / High Price $3,700.00 / $15,298.00 / $26,104.00	Facility		$3,700.00	$15,298.00	$26,104.00
United Facility/Professional Professional Modifier Low / Median / High Price $667.28 / $896.85 / $1,389.71	Professional		$667.28	$896.85	$1,389.71