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 $2,310.92 / $2,356.04 / $4,124.46	Professional		$2,310.92	$2,356.04	$4,124.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,553.12 / $3,125.35 / $3,489.26	Professional		$2,553.12	$3,125.35	$3,489.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,046.83 / $3,617.62 / $4,371.93	Facility		$2,046.83	$3,617.62	$4,371.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,889.02 / $3,064.11 / $3,501.84	Professional		$2,889.02	$3,064.11	$3,501.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $2,529.34 / $3,182.07	Professional		$32.34	$2,529.34	$3,182.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,752.89 / $2,752.89 / $3,398.11	Professional		$2,752.89	$2,752.89	$3,398.11
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 $1,900.48 / $2,641.59 / $3,896.84	Professional		$1,900.48	$2,641.59	$3,896.84