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 $1,259.88 / $1,371.76 / $2,239.15	Professional		$1,259.88	$1,371.76	$2,239.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,286.89 / $1,575.33 / $1,758.75	Professional		$1,286.89	$1,575.33	$1,758.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,116.22 / $1,638.36 / $2,373.50	Facility		$1,116.22	$1,638.36	$2,373.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,511.48 / $1,603.09 / $1,832.10	Professional		$1,511.48	$1,603.09	$1,832.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $78.00 / $1,608.24	Professional		$30.00	$78.00	$1,608.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,716.12 / $1,864.20 / $1,897.72	Professional		$1,716.12	$1,864.20	$1,897.72
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 $984.52 / $1,305.03 / $2,071.02	Professional		$984.52	$1,305.03	$2,071.02