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 $474.20 / $621.57 / $1,185.28	Professional		$474.20	$621.57	$1,185.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $681.62 / $834.40 / $931.55	Professional		$681.62	$834.40	$931.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $528.88 / $855.18 / $1,517.16	Facility		$528.88	$855.18	$1,517.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $747.73 / $861.02 / $1,124.63	Professional		$747.73	$861.02	$1,124.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $741.49 / $826.23	Professional		$30.00	$741.49	$826.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $699.54 / $712.14 / $1,044.47	Facility		$699.54	$712.14	$1,044.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $933.77 / $933.77 / $1,124.63	Professional		$933.77	$933.77	$1,124.63
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 $513.00 / $892.78 / $1,432.77	Professional		$513.00	$892.78	$1,432.77