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 $1,107.49 / $1,255.68 / $2,910.15	Professional		$1,107.49	$1,255.68	$2,910.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,329.31 / $1,627.25 / $1,816.72	Professional		$1,329.31	$1,627.25	$1,816.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,153.81 / $1,585.72 / $3,724.99	Facility		$1,153.81	$1,585.72	$3,724.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,552.06 / $1,765.47 / $1,881.28	Professional		$1,552.06	$1,765.47	$1,881.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,474.88 / $1,643.44	Professional		$32.34	$1,474.88	$1,643.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,765.48 / $1,932.18 / $1,956.03	Professional		$1,765.48	$1,932.18	$1,956.03
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 $1,025.57 / $1,520.04 / $2,262.06	Professional		$1,025.57	$1,520.04	$2,262.06