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 $1,692.68 / $2,102.44 / $4,878.55	Professional		$1,692.68	$2,102.44	$4,878.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,231.77 / $2,731.99 / $3,050.09	Professional		$2,231.77	$2,731.99	$3,050.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,932.05 / $3,724.88 / $6,244.54	Facility		$1,932.05	$3,724.88	$6,244.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,597.60 / $2,957.87 / $3,148.60	Professional		$2,597.60	$2,957.87	$3,148.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $2,467.73 / $2,749.75	Professional		$32.34	$2,467.73	$2,749.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,957.87 / $3,235.86 / $3,277.45	Professional		$2,957.87	$3,235.86	$3,277.45
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 $1,740.24 / $2,424.16 / $3,663.17	Professional		$1,740.24	$2,424.16	$3,663.17