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 $683.05 / $809.84 / $1,811.24	Professional		$683.05	$809.84	$1,811.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $853.15 / $1,044.36 / $1,165.97	Professional		$853.15	$1,044.36	$1,165.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $572.79 / $995.87 / $2,318.39	Facility		$572.79	$995.87	$2,318.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $953.75 / $1,011.55 / $1,156.06	Professional		$953.75	$1,011.55	$1,156.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $911.28 / $1,015.42	Professional		$32.34	$911.28	$1,015.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,096.66 / $1,185.70 / $1,208.20	Professional		$1,096.66	$1,185.70	$1,208.20
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 $651.40 / $904.04 / $1,353.46	Professional		$651.40	$904.04	$1,353.46