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 $456.31 / $668.60 / $2,311.62	Professional		$456.31	$668.60	$2,311.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $546.57 / $688.27 / $829.98	Professional		$546.57	$688.27	$829.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $614.22 / $1,071.78 / $1,720.77	Facility		$614.22	$1,071.78	$1,720.77
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 $828.83 / $940.35 / $975.09	Professional		$828.83	$940.35	$975.09
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 $497.21 / $657.67 / $1,062.82	Professional		$497.21	$657.67	$1,062.82