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 $1,051.13 / $1,596.15 / $3,418.38	Professional		$1,051.13	$1,596.15	$3,418.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,118.03 / $1,800.72 / $2,205.19	Professional		$1,118.03	$1,800.72	$2,205.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,152.84 / $2,043.07 / $3,623.48	Facility		$1,152.84	$2,043.07	$3,623.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,922.98 / $2,039.52 / $2,330.88	Professional		$1,922.98	$2,039.52	$2,330.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,618.42 / $2,036.07	Professional		$32.34	$1,618.42	$2,036.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,028.73 / $2,371.58 / $2,411.46	Professional		$2,028.73	$2,371.58	$2,411.46
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 $1,236.58 / $1,641.60 / $2,541.90	Professional		$1,236.58	$1,641.60	$2,541.90