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 $625.63 / $868.80 / $1,859.39	Professional		$625.63	$868.80	$1,859.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $655.99 / $991.68 / $1,196.97	Professional		$655.99	$991.68	$1,196.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $707.45 / $1,124.32 / $1,970.95	Facility		$707.45	$1,124.32	$1,970.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,029.01 / $1,091.36 / $1,247.28	Professional		$1,029.01	$1,091.36	$1,247.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $891.11 / $1,121.07	Professional		$32.34	$891.11	$1,121.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,090.56 / $1,272.33 / $1,283.01	Professional		$1,090.56	$1,272.33	$1,283.01
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 $677.88 / $870.72 / $1,332.73	Professional		$677.88	$870.72	$1,332.73