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 $1,202.23 / $1,920.78 / $3,158.47	Professional		$1,202.23	$1,920.78	$3,158.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,812.18 / $2,218.35 / $2,476.65	Professional		$1,812.18	$2,218.35	$2,476.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,567.04 / $2,308.38 / $3,347.98	Facility		$1,567.04	$2,308.38	$3,347.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,114.59 / $2,242.75 / $2,563.14	Professional		$2,114.59	$2,242.75	$2,563.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $78.00 / $2,243.87	Professional		$30.00	$78.00	$2,243.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,405.02 / $2,631.34 / $2,662.51	Professional		$2,405.02	$2,631.34	$2,662.51
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 $1,391.61 / $1,949.50 / $2,942.64	Professional		$1,391.61	$1,949.50	$2,942.64