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 $571.90 / $660.28 / $1,518.01	Professional		$571.90	$660.28	$1,518.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $697.23 / $853.50 / $952.88	Professional		$697.23	$853.50	$952.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $480.24 / $810.94 / $1,943.05	Facility		$480.24	$810.94	$1,943.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $798.98 / $847.40 / $968.46	Professional		$798.98	$847.40	$968.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $764.02	Professional		$32.34	$32.34	$764.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $920.35 / $994.42 / $1,014.29	Professional		$920.35	$994.42	$1,014.29
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 $546.32 / $784.48 / $1,102.60	Professional		$546.32	$784.48	$1,102.60