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 $1,069.86 / $1,163.83 / $1,894.60	Professional		$1,069.86	$1,163.83	$1,894.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,089.61 / $1,333.84 / $1,489.15	Professional		$1,089.61	$1,333.84	$1,489.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $948.12 / $1,386.33 / $2,008.28	Facility		$948.12	$1,386.33	$2,008.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,281.46 / $1,359.12 / $1,553.28	Professional		$1,281.46	$1,359.12	$1,553.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $78.00 / $1,361.18	Professional		$30.00	$78.00	$1,361.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,452.46 / $1,592.27 / $1,608.22	Professional		$1,452.46	$1,592.27	$1,608.22
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 $664.62 / $1,082.25 / $1,755.64	Professional		$664.62	$1,082.25	$1,755.64