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 $1,395.10 / $1,994.42 / $4,545.87	Professional		$1,395.10	$1,994.42	$4,545.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,088.17 / $2,556.19 / $2,853.83	Professional		$2,088.17	$2,556.19	$2,853.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,799.77 / $3,321.67 / $5,818.71	Facility		$1,799.77	$3,321.67	$5,818.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,426.82 / $2,763.27 / $2,941.60	Professional		$2,426.82	$2,763.27	$2,941.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $2,309.92 / $2,573.92	Professional		$32.34	$2,309.92	$2,573.92
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,763.27 / $3,019.91 / $3,059.14	Professional		$2,763.27	$3,019.91	$3,059.14
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 $1,537.48 / $2,254.51 / $3,295.96	Professional		$1,537.48	$2,254.51	$3,295.96