Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $384.47 / $384.47 / $5,519.00	Facility		$384.47	$384.47	$5,519.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,475.73 / $1,732.90 / $3,931.64	Professional		$1,475.73	$1,732.90	$3,931.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,802.54 / $2,206.55 / $2,463.46	Professional		$1,802.54	$2,206.55	$2,463.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,457.45 / $2,142.12 / $5,032.50	Facility		$1,457.45	$2,142.12	$5,032.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,113.52 / $2,397.23 / $2,561.84	Professional		$2,113.52	$2,397.23	$2,561.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $2,012.94 / $2,242.98	Professional		$32.34	$2,012.94	$2,242.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,397.23 / $2,626.01 / $2,654.37	Professional		$2,397.23	$2,626.01	$2,654.37
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 $1,229.47 / $1,786.05 / $2,940.63	Professional		$1,229.47	$1,786.05	$2,940.63