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 $520.98 / $601.22 / $1,382.24	Professional		$520.98	$601.22	$1,382.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $634.82 / $777.10 / $867.59	Professional		$634.82	$777.10	$867.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $437.37 / $738.44 / $1,769.27	Facility		$437.37	$738.44	$1,769.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $728.00 / $772.12 / $882.42	Professional		$728.00	$772.12	$882.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $695.82 / $775.34	Professional		$32.34	$695.82	$775.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $837.26 / $905.77 / $922.08	Professional		$837.26	$905.77	$922.08
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 $489.74 / $688.00 / $1,004.19	Professional		$489.74	$688.00	$1,004.19