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 $660.98 / $779.79 / $1,157.74	Professional		$660.98	$779.79	$1,157.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $924.48 / $1,131.69 / $1,263.46	Professional		$924.48	$1,131.69	$1,263.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $765.68 / $1,153.33 / $1,290.19	Facility		$765.68	$1,153.33	$1,290.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.16 / $1,097.66 / $1,298.38	Professional		$1,071.16	$1,097.66	$1,298.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $930.48 / $1,170.59	Professional		$32.34	$930.48	$1,170.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,023.51 / $1,023.51 / $1,252.52	Professional		$1,023.51	$1,023.51	$1,252.52
United Facility/Professional Facility Modifier Low / Median / High Price $5,550.00 / $12,152.00 / $12,233.00	Facility		$5,550.00	$12,152.00	$12,233.00
United Facility/Professional Professional Modifier Low / Median / High Price $685.70 / $935.90 / $1,349.00	Professional		$685.70	$935.90	$1,349.00