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 $1,766.19 / $2,038.08 / $4,686.82	Professional		$1,766.19	$2,038.08	$4,686.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,153.91 / $2,636.67 / $2,943.67	Professional		$2,153.91	$2,636.67	$2,943.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,481.30 / $2,502.25 / $5,999.13	Facility		$1,481.30	$2,502.25	$5,999.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,465.23 / $2,614.64 / $2,988.16	Professional		$2,465.23	$2,614.64	$2,988.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $2,356.62 / $2,625.95	Professional		$32.34	$2,356.62	$2,625.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,838.19 / $3,070.57 / $3,126.26	Professional		$2,838.19	$3,070.57	$3,126.26
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 $1,329.83 / $2,182.94 / $3,408.45	Professional		$1,329.83	$2,182.94	$3,408.45