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 $1,509.90 / $1,537.81 / $2,685.70	Professional		$1,509.90	$1,537.81	$2,685.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,662.78 / $2,035.46 / $2,272.46	Professional		$1,662.78	$2,035.46	$2,272.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,341.16 / $2,356.00 / $2,846.84	Facility		$1,341.16	$2,356.00	$2,846.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,891.49 / $2,006.13 / $2,292.71	Professional		$1,891.49	$2,006.13	$2,292.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,654.78 / $2,081.82	Professional		$32.34	$1,654.78	$2,081.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,800.99 / $1,800.99 / $2,215.36	Professional		$1,800.99	$1,800.99	$2,215.36
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 $1,149.13 / $1,657.85 / $2,532.29	Professional		$1,149.13	$1,657.85	$2,532.29