Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,822.50 / $2,822.50 / $5,519.00	Facility		$2,822.50	$2,822.50	$5,519.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $932.80 / $980.02 / $1,739.01	Professional		$932.80	$980.02	$1,739.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $992.85 / $1,215.38 / $1,356.89	Professional		$992.85	$1,215.38	$1,356.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $840.00 / $1,307.06 / $1,843.35	Facility		$840.00	$1,307.06	$1,843.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,237.15 / $1,261.26 / $1,499.58	Professional		$1,237.15	$1,261.26	$1,499.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,011.02 / $1,271.93	Professional		$32.34	$1,011.02	$1,271.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,534.95 / $1,534.95 / $1,686.73	Professional		$1,534.95	$1,534.95	$1,686.73
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 $639.38 / $968.40 / $1,599.72	Professional		$639.38	$968.40	$1,599.72