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 $2,261.65 / $3,012.34 / $6,879.26	Professional		$2,261.65	$3,012.34	$6,879.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,159.63 / $3,867.81 / $4,318.16	Professional		$3,159.63	$3,867.81	$4,318.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,245.28 / $3,708.56 / $8,805.45	Facility		$2,245.28	$3,708.56	$8,805.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,646.35 / $4,184.62 / $4,419.82	Professional		$3,646.35	$4,184.62	$4,419.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $3,489.71 / $3,888.53	Professional		$32.34	$3,489.71	$3,888.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,184.63 / $4,546.20 / $4,611.76	Professional		$4,184.63	$4,546.20	$4,611.76
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 $2,282.75 / $3,205.36 / $4,999.43	Professional		$2,282.75	$3,205.36	$4,999.43