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 $1,152.57 / $1,211.55 / $2,155.29	Professional		$1,152.57	$1,211.55	$2,155.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,229.75 / $1,505.38 / $1,680.66	Professional		$1,229.75	$1,505.38	$1,680.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,122.93 / $1,622.70 / $2,284.61	Facility		$1,122.93	$1,622.70	$2,284.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,532.83 / $1,544.40 / $1,857.98	Professional		$1,532.83	$1,544.40	$1,857.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,251.32 / $1,574.24	Professional		$32.34	$1,251.32	$1,574.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,902.19 / $1,902.19 / $2,089.56	Professional		$1,902.19	$1,902.19	$2,089.56
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 $962.87 / $1,229.41 / $1,974.32	Professional		$962.87	$1,229.41	$1,974.32