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 $1,105.93 / $1,296.58 / $2,950.18	Professional		$1,105.93	$1,296.58	$2,950.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,349.93 / $1,652.50 / $1,844.91	Professional		$1,349.93	$1,652.50	$1,844.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,081.57 / $1,601.74 / $3,776.23	Facility		$1,081.57	$1,601.74	$3,776.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,572.33 / $1,797.54 / $1,905.86	Professional		$1,572.33	$1,797.54	$1,905.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,504.76 / $1,676.73	Professional		$32.34	$1,504.76	$1,676.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,797.54 / $1,952.85 / $1,980.44	Professional		$1,797.54	$1,952.85	$1,980.44
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 $1,025.28 / $1,281.59 / $2,120.84	Professional		$1,025.28	$1,281.59	$2,120.84