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 $771.59 / $982.59 / $1,873.02	Professional		$771.59	$982.59	$1,873.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $747.81 / $1,124.00 / $1,359.51	Professional		$747.81	$1,124.00	$1,359.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $697.02 / $1,257.72 / $2,153.96	Facility		$697.02	$1,257.72	$2,153.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,265.98 / $1,381.07 / $1,811.04	Professional		$1,265.98	$1,381.07	$1,811.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,219.79	Professional		$32.34	$32.34	$1,219.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,332.47 / $1,567.61 / $1,811.04	Professional		$1,332.47	$1,567.61	$1,811.04
United Facility/Professional Facility Modifier Low / Median / High Price $675.00 / $3,700.00 / $26,104.00	Facility		$675.00	$3,700.00	$26,104.00
United Facility/Professional Professional Modifier Low / Median / High Price $712.79 / $1,081.92 / $1,510.18	Professional		$712.79	$1,081.92	$1,510.18