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 $1,928.52 / $4,352.96 / $5,180.02	Professional		$1,928.52	$4,352.96	$5,180.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,490.11 / $3,048.22 / $3,403.14	Professional		$2,490.11	$3,048.22	$3,403.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,312.55 / $3,299.78 / $4,614.14	Facility		$2,312.55	$3,299.78	$4,614.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,088.62 / $3,275.81 / $3,743.78	Professional		$3,088.62	$3,275.81	$3,743.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,835.16	Professional		$32.34	$32.34	$2,835.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,840.37 / $3,840.37 / $4,212.28	Professional		$3,840.37	$3,840.37	$4,212.28
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 $1,756.73 / $2,561.28 / $4,043.97	Professional		$1,756.73	$2,561.28	$4,043.97