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 $1,738.17 / $2,026.39 / $4,627.14	Professional		$1,738.17	$2,026.39	$4,627.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,120.71 / $2,596.05 / $2,898.32	Professional		$2,120.71	$2,596.05	$2,898.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,740.50 / $2,497.98 / $5,922.75	Facility		$1,740.50	$2,497.98	$5,922.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,458.83 / $2,814.48 / $2,980.40	Professional		$2,458.83	$2,814.48	$2,980.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $2,351.48 / $2,620.23	Professional		$32.34	$2,351.48	$2,620.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,814.48 / $3,054.57 / $3,101.85	Professional		$2,814.48	$3,054.57	$3,101.85
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 $1,631.25 / $2,355.92 / $3,344.80	Professional		$1,631.25	$2,355.92	$3,344.80