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 $1,563.08 / $1,590.71 / $2,775.79	Professional		$1,563.08	$1,590.71	$2,775.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,717.24 / $2,102.13 / $2,346.89	Professional		$1,717.24	$2,102.13	$2,346.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,387.81 / $2,429.46 / $2,942.34	Facility		$1,387.81	$2,429.46	$2,942.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,957.15 / $2,075.76 / $2,372.30	Professional		$1,957.15	$2,075.76	$2,372.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,711.99 / $2,153.79	Professional		$32.34	$1,711.99	$2,153.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,863.91 / $1,863.91 / $2,290.11	Professional		$1,863.91	$1,863.91	$2,290.11
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 $1,301.40 / $1,873.03 / $2,615.17	Professional		$1,301.40	$1,873.03	$2,615.17