Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,897.00 / $4,500.00 / $7,761.00	Facility		$2,897.00	$4,500.00	$7,761.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $703.46 / $835.09 / $1,238.50	Professional		$703.46	$835.09	$1,238.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $992.12 / $1,214.49 / $1,355.90	Professional		$992.12	$1,214.49	$1,355.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $823.20 / $1,238.50 / $1,409.16	Facility		$823.20	$1,238.50	$1,409.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,140.02 / $1,208.42 / $1,381.84	Professional		$1,140.02	$1,208.42	$1,381.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $982.36 / $1,235.86	Professional		$32.34	$982.36	$1,235.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,095.63 / $1,095.63 / $1,334.27	Professional		$1,095.63	$1,095.63	$1,334.27
United Facility/Professional Facility Modifier Low / Median / High Price $9,360.00 / $16,762.00 / $17,870.00	Facility		$9,360.00	$16,762.00	$17,870.00
United Facility/Professional Professional Modifier Low / Median / High Price $737.67 / $987.00 / $1,512.56	Professional		$737.67	$987.00	$1,512.56