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 $1,565.11 / $1,772.63 / $4,112.59	Professional		$1,565.11	$1,772.63	$4,112.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,880.05 / $2,301.42 / $2,569.40	Professional		$1,880.05	$2,301.42	$2,569.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,629.84 / $2,176.71 / $5,264.12	Facility		$1,629.84	$2,176.71	$5,264.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,191.44 / $2,494.52 / $2,656.30	Professional		$2,191.44	$2,494.52	$2,656.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $2,081.91 / $2,319.84	Professional		$32.34	$2,081.91	$2,319.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,494.52 / $2,728.65 / $2,764.21	Professional		$2,494.52	$2,728.65	$2,764.21
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 $1,464.88 / $2,028.97 / $3,003.67	Professional		$1,464.88	$2,028.97	$3,003.67