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 $1,177.52 / $1,632.34 / $3,457.41	Professional		$1,177.52	$1,632.34	$3,457.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,133.17 / $1,828.75 / $2,251.73	Professional		$1,133.17	$1,828.75	$2,251.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,165.66 / $2,089.40 / $3,664.85	Facility		$1,165.66	$2,089.40	$3,664.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,944.33 / $2,062.17 / $2,356.76	Professional		$1,944.33	$2,062.17	$2,356.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,636.66 / $2,059.02	Professional		$32.34	$1,636.66	$2,059.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,051.94 / $2,398.21 / $2,438.55	Professional		$2,051.94	$2,398.21	$2,438.55
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 $1,258.55 / $1,650.17 / $2,598.15	Professional		$1,258.55	$1,650.17	$2,598.15