Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,628.00 / $4,500.00 / $7,205.00	Facility		$1,628.00	$4,500.00	$7,205.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $708.54 / $959.08 / $2,042.44	Professional		$708.54	$959.08	$2,042.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $778.26 / $1,113.16 / $1,342.34	Professional		$778.26	$1,113.16	$1,342.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $794.61 / $1,302.89 / $2,164.98	Facility		$794.61	$1,302.89	$2,164.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,263.84 / $1,340.45 / $1,531.94	Professional		$1,263.84	$1,340.45	$1,531.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,064.68 / $1,339.44	Professional		$32.34	$1,064.68	$1,339.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,333.60 / $1,533.63 / $1,568.94	Professional		$1,333.60	$1,533.63	$1,568.94
United Facility/Professional Facility Modifier Low / Median / High Price $3,450.00 / $6,124.00 / $7,609.00	Facility		$3,450.00	$6,124.00	$7,609.00
United Facility/Professional Professional Modifier Low / Median / High Price $788.12 / $1,018.56 / $1,534.76	Professional		$788.12	$1,018.56	$1,534.76