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 $614.82 / $855.32 / $1,828.80	Professional		$614.82	$855.32	$1,828.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.87 / $974.92 / $1,175.64	Professional		$645.87	$974.92	$1,175.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $716.77 / $1,110.81 / $1,938.53	Facility		$716.77	$1,110.81	$1,938.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,015.13 / $1,076.65 / $1,230.46	Professional		$1,015.13	$1,076.65	$1,230.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $878.43 / $1,105.11	Professional		$32.34	$878.43	$1,105.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,073.57 / $1,253.04 / $1,263.02	Professional		$1,073.57	$1,253.04	$1,263.02
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 $670.35 / $907.48 / $1,309.07	Professional		$670.35	$907.48	$1,309.07