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 $1,469.82 / $1,496.93 / $2,613.09	Professional		$1,469.82	$1,496.93	$2,613.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,618.20 / $1,980.90 / $2,211.54	Professional		$1,618.20	$1,980.90	$2,211.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,304.97 / $2,292.13 / $2,769.88	Facility		$1,304.97	$2,292.13	$2,769.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,840.79 / $1,952.35 / $2,231.26	Professional		$1,840.79	$1,952.35	$2,231.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,026.30	Professional		$32.34	$32.34	$2,026.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,753.42 / $1,753.42 / $2,155.58	Professional		$1,753.42	$1,753.42	$2,155.58
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 $1,202.14 / $1,658.00 / $2,464.92	Professional		$1,202.14	$1,658.00	$2,464.92