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 $1,401.70 / $2,251.37 / $3,682.84	Professional		$1,401.70	$2,251.37	$3,682.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,682.83 / $2,376.51 / $2,678.89	Professional		$1,682.83	$2,376.51	$2,678.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,507.42 / $2,819.76 / $4,235.27	Facility		$1,507.42	$2,819.76	$4,235.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,614.14 / $2,772.58 / $3,565.29	Professional		$2,614.14	$2,772.58	$3,565.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $2,127.65 / $2,402.19	Professional		$32.34	$2,127.65	$2,402.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,760.67 / $3,247.85 / $3,565.28	Professional		$2,760.67	$3,247.85	$3,565.28
United Facility/Professional Facility Modifier Low / Median / High Price $675.00 / $3,700.00 / $26,104.00	Facility		$675.00	$3,700.00	$26,104.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,744.57 / $2,433.23 / $3,213.70	Professional		$1,744.57	$2,433.23	$3,213.70