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 $80.09 / $109.47 / $234.74	Professional		$80.09	$109.47	$234.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.14 / $127.24 / $153.44	Professional		$92.14	$127.24	$153.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $97.91 / $140.12 / $269.95	Facility		$97.91	$140.12	$269.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $131.29 / $139.25 / $159.13	Professional		$131.29	$139.25	$159.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $110.17 / $138.61	Professional		$32.34	$110.17	$138.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $138.24 / $161.79 / $164.51	Professional		$138.24	$161.79	$164.51
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 $86.98 / $118.10 / $178.35	Professional		$86.98	$118.10	$178.35