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 $1,013.54 / $1,290.17 / $2,297.55	Professional		$1,013.54	$1,290.17	$2,297.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,313.66 / $1,608.10 / $1,795.34	Professional		$1,313.66	$1,608.10	$1,795.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $943.70 / $1,735.32 / $2,435.40	Facility		$943.70	$1,735.32	$2,435.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,632.11 / $1,719.12 / $1,978.32	Professional		$1,632.11	$1,719.12	$1,978.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,329.76 / $1,672.92	Professional		$32.34	$1,329.76	$1,672.92
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,026.83 / $2,026.83 / $2,225.92	Professional		$2,026.83	$2,026.83	$2,225.92
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 $913.18 / $1,351.02 / $2,127.48	Professional		$913.18	$1,351.02	$2,127.48