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 $1,819.83 / $1,988.53 / $3,520.39	Professional		$1,819.83	$1,988.53	$3,520.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,881.93 / $2,303.73 / $2,571.96	Professional		$1,881.93	$2,303.73	$2,571.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,650.89 / $2,521.90 / $3,731.61	Facility		$1,650.89	$2,521.90	$3,731.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,305.66 / $2,445.40 / $2,794.74	Professional		$2,305.66	$2,445.40	$2,794.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $78.00 / $2,517.16	Professional		$30.00	$78.00	$2,517.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,708.57 / $2,871.28 / $2,914.04	Professional		$2,708.57	$2,871.28	$2,914.04
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 $1,513.79 / $2,315.34 / $3,007.61	Professional		$1,513.79	$2,315.34	$3,007.61