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 $677.23 / $945.48 / $1,997.05	Professional		$677.23	$945.48	$1,997.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $711.08 / $1,072.38 / $1,296.17	Professional		$711.08	$1,072.38	$1,296.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $726.15 / $1,210.21 / $2,116.87	Facility		$726.15	$1,210.21	$2,116.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,127.21 / $1,195.53 / $1,366.32	Professional		$1,127.21	$1,195.53	$1,366.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $949.50 / $1,194.53	Professional		$32.34	$949.50	$1,194.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,187.43 / $1,387.53 / $1,410.87	Professional		$1,187.43	$1,387.53	$1,410.87
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 $721.79 / $957.60 / $1,489.61	Professional		$721.79	$957.60	$1,489.61