Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,628.00 / $4,500.00 / $7,205.00	Facility		$1,628.00	$4,500.00	$7,205.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $680.86 / $1,038.81 / $1,645.38	Professional		$680.86	$1,038.81	$1,645.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $787.22 / $1,051.91 / $1,231.23	Professional		$787.22	$1,051.91	$1,231.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $657.87 / $1,275.91 / $1,892.19	Facility		$657.87	$1,275.91	$1,892.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,093.06 / $1,192.43 / $1,578.12	Professional		$1,093.06	$1,192.43	$1,578.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $932.81 / $1,173.53	Professional		$32.34	$932.81	$1,173.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,152.31 / $1,355.66 / $1,578.12	Professional		$1,152.31	$1,355.66	$1,578.12
United Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $1,800.00 / $9,193.00	Facility		$150.00	$1,800.00	$9,193.00
United Facility/Professional Professional Modifier Low / Median / High Price $763.04 / $1,024.08 / $1,421.08	Professional		$763.04	$1,024.08	$1,421.08