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 $1,540.22 / $1,797.37 / $4,098.24	Professional		$1,540.22	$1,797.37	$4,098.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,879.32 / $2,300.54 / $2,568.41	Professional		$1,879.32	$2,300.54	$2,568.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,540.93 / $2,217.28 / $5,245.75	Facility		$1,540.93	$2,217.28	$5,245.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,179.69 / $2,495.98 / $2,642.06	Professional		$2,179.69	$2,495.98	$2,642.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $2,078.84 / $2,316.42	Professional		$32.34	$2,078.84	$2,316.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,495.98 / $2,723.99 / $2,758.10	Professional		$2,495.98	$2,723.99	$2,758.10
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 $1,385.88 / $1,907.55 / $2,957.04	Professional		$1,385.88	$1,907.55	$2,957.04