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 $2,422.23 / $2,551.71 / $4,566.39	Professional		$2,422.23	$2,551.71	$4,566.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,611.71 / $3,197.09 / $3,569.35	Professional		$2,611.71	$3,197.09	$3,569.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,422.23 / $3,461.99 / $4,840.38	Facility		$2,422.23	$3,461.99	$4,840.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,235.93 / $3,381.30 / $3,922.34	Professional		$3,235.93	$3,381.30	$3,922.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $2,629.34 / $3,307.88	Professional		$32.34	$2,629.34	$3,307.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,024.99 / $4,024.99 / $4,414.18	Professional		$4,024.99	$4,024.99	$4,414.18
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 $1,763.09 / $2,884.51 / $4,236.50	Professional		$1,763.09	$2,884.51	$4,236.50