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 $499.80 / $561.60 / $1,309.33	Professional		$499.80	$561.60	$1,309.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $599.50 / $733.86 / $819.31	Professional		$599.50	$733.86	$819.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $517.04 / $1,001.11 / $1,675.96	Facility		$517.04	$1,001.11	$1,675.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $694.37 / $792.97 / $841.66	Professional		$694.37	$792.97	$841.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $659.17	Professional		$32.34	$32.34	$659.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $792.97 / $864.45 / $879.37	Professional		$792.97	$864.45	$879.37
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 $467.72 / $628.19 / $959.04	Professional		$467.72	$628.19	$959.04