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 $752.30 / $1,046.23 / $2,205.08	Professional		$752.30	$1,046.23	$2,205.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $768.76 / $1,165.77 / $1,436.41	Professional		$768.76	$1,165.77	$1,436.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $784.41 / $1,339.17 / $2,337.38	Facility		$784.41	$1,339.17	$2,337.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,244.63 / $1,320.06 / $1,508.64	Professional		$1,244.63	$1,320.06	$1,508.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,183.56	Professional		$32.34	$32.34	$1,183.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,313.21 / $1,532.67 / $1,558.45	Professional		$1,313.21	$1,532.67	$1,558.45
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 $788.17 / $1,022.40 / $1,617.69	Professional		$788.17	$1,022.40	$1,617.69