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 $1,301.07 / $1,789.74 / $3,809.15	Professional		$1,301.07	$1,789.74	$3,809.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,357.50 / $2,066.50 / $2,491.94	Professional		$1,357.50	$2,066.50	$2,491.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,394.27 / $2,290.87 / $4,037.70	Facility		$1,394.27	$2,290.87	$4,037.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,131.67 / $2,260.86 / $2,583.84	Professional		$2,131.67	$2,260.86	$2,583.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,029.98	Professional		$32.34	$32.34	$2,029.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,253.07 / $2,634.57 / $2,678.89	Professional		$2,253.07	$2,634.57	$2,678.89
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 $1,456.55 / $1,860.47 / $2,868.23	Professional		$1,456.55	$1,860.47	$2,868.23