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 $357.83 / $522.04 / $1,253.14	Professional		$357.83	$522.04	$1,253.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.79 / $537.44 / $648.09	Professional		$426.79	$537.44	$648.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $479.55 / $840.13 / $1,348.93	Facility		$479.55	$840.13	$1,348.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $2,000.00 / $3,900.00	Professional		$30.00	$2,000.00	$3,900.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $618.08 / $727.15 / $737.25	Professional		$618.08	$727.15	$737.25
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 $343.52 / $451.93 / $694.56	Professional		$343.52	$451.93	$694.56