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 $1,654.27 / $2,228.81 / $5,087.67	Professional		$1,654.27	$2,228.81	$5,087.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,337.73 / $2,861.71 / $3,194.92	Professional		$2,337.73	$2,861.71	$3,194.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,011.97 / $3,676.48 / $6,512.22	Facility		$2,011.97	$3,676.48	$6,512.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,711.82 / $3,091.03 / $3,287.06	Professional		$2,711.82	$3,091.03	$3,287.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $2,580.52 / $2,875.43	Professional		$32.34	$2,580.52	$2,875.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,091.03 / $3,376.49 / $3,422.54	Professional		$3,091.03	$3,376.49	$3,422.54
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 $1,752.35 / $2,386.46 / $3,691.86	Professional		$1,752.35	$2,386.46	$3,691.86