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 $943.22 / $951.75 / $1,645.62	Professional		$943.22	$951.75	$1,645.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,017.60 / $1,245.68 / $1,390.72	Professional		$1,017.60	$1,245.68	$1,390.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $799.63 / $1,371.33 / $1,744.36	Facility		$799.63	$1,371.33	$1,744.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,126.14 / $1,194.39 / $1,365.02	Professional		$1,126.14	$1,194.39	$1,365.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $983.80 / $1,237.68	Professional		$32.34	$983.80	$1,237.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,072.09 / $1,072.09 / $1,312.01	Professional		$1,072.09	$1,072.09	$1,312.01
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 $765.33 / $957.16 / $1,573.99	Professional		$765.33	$957.16	$1,573.99