Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,805.00 / $6,899.00	Facility		$4,500.00	$4,805.00	$6,899.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,387.66 / $1,411.58 / $2,460.25	Professional		$1,387.66	$1,411.58	$2,460.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,522.54 / $1,863.80 / $2,080.81	Professional		$1,522.54	$1,863.80	$2,080.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,231.64 / $2,122.78 / $2,607.87	Facility		$1,231.64	$2,122.78	$2,607.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,736.18 / $1,841.40 / $2,104.46	Professional		$1,736.18	$1,841.40	$2,104.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,518.16 / $1,909.95	Professional		$32.34	$1,518.16	$1,909.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,652.66 / $1,652.66 / $2,030.84	Professional		$1,652.66	$1,652.66	$2,030.84
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 $1,108.54 / $1,489.02 / $2,316.19	Professional		$1,108.54	$1,489.02	$2,316.19