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 $690.06 / $1,068.03 / $2,254.41	Professional		$690.06	$1,068.03	$2,254.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $680.75 / $1,190.70 / $1,467.56	Professional		$680.75	$1,190.70	$1,467.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $727.85 / $1,367.08 / $2,389.67	Facility		$727.85	$1,367.08	$2,389.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,267.05 / $1,343.84 / $1,535.82	Professional		$1,267.05	$1,343.84	$1,535.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,342.38	Professional		$32.34	$32.34	$1,342.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,337.57 / $1,565.30 / $1,591.63	Professional		$1,337.57	$1,565.30	$1,591.63
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 $789.25 / $1,104.95 / $1,689.43	Professional		$789.25	$1,104.95	$1,689.43