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 $636.52 / $746.59 / $1,721.96	Professional		$636.52	$746.59	$1,721.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $791.60 / $969.02 / $1,081.84	Professional		$791.60	$969.02	$1,081.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $545.49 / $916.16 / $2,204.11	Facility		$545.49	$916.16	$2,204.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $907.32 / $962.31 / $1,099.78	Professional		$907.32	$962.31	$1,099.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $867.83	Professional		$32.34	$32.34	$867.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,042.31 / $1,131.72 / $1,148.53	Professional		$1,042.31	$1,131.72	$1,148.53
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 $607.30 / $843.49 / $1,248.38	Professional		$607.30	$843.49	$1,248.38