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 $652.17 / $929.31 / $1,932.06	Professional		$652.17	$929.31	$1,932.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $641.89 / $1,022.90 / $1,253.47	Professional		$641.89	$1,022.90	$1,253.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $658.50 / $1,189.52 / $2,047.98	Facility		$658.50	$1,189.52	$2,047.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,089.31 / $1,155.33 / $1,320.38	Professional		$1,089.31	$1,155.33	$1,320.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $918.93 / $1,156.08	Professional		$32.34	$918.93	$1,156.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,144.95 / $1,340.26 / $1,362.80	Professional		$1,144.95	$1,340.26	$1,362.80
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 $653.60 / $868.77 / $1,346.41	Professional		$653.60	$868.77	$1,346.41