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 $1,176.33 / $1,718.29 / $3,903.36	Professional		$1,176.33	$1,718.29	$3,903.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,789.57 / $2,190.67 / $2,445.73	Professional		$1,789.57	$2,190.67	$2,445.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,491.48 / $2,122.89 / $4,996.30	Facility		$1,491.48	$2,122.89	$4,996.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,093.77 / $2,377.94 / $2,537.90	Professional		$2,093.77	$2,377.94	$2,537.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,994.14 / $2,222.04	Professional		$32.34	$1,994.14	$2,222.04
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,377.94 / $2,604.02 / $2,632.67	Professional		$2,377.94	$2,604.02	$2,632.67
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 $1,226.45 / $1,761.30 / $2,817.18	Professional		$1,226.45	$1,761.30	$2,817.18