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 $673.36 / $933.12 / $1,994.89	Professional		$673.36	$933.12	$1,994.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $698.25 / $1,059.09 / $1,289.77	Professional		$698.25	$1,059.09	$1,289.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $706.24 / $1,198.14 / $2,114.58	Facility		$706.24	$1,198.14	$2,114.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,154.42 / $1,224.39 / $1,399.30	Professional		$1,154.42	$1,224.39	$1,399.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $972.01 / $1,222.84	Professional		$32.34	$972.01	$1,222.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,178.36 / $1,372.88 / $1,395.97	Professional		$1,178.36	$1,372.88	$1,395.97
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 $731.15 / $936.71 / $1,482.62	Professional		$731.15	$936.71	$1,482.62