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 $1,624.35 / $1,895.17 / $4,325.76	Professional		$1,624.35	$1,895.17	$4,325.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,981.01 / $2,425.03 / $2,707.39	Professional		$1,981.01	$2,425.03	$2,707.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,657.54 / $2,337.36 / $5,536.97	Facility		$1,657.54	$2,337.36	$5,536.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,299.26 / $2,631.48 / $2,786.98	Professional		$2,299.26	$2,631.48	$2,786.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $2,199.23 / $2,450.57	Professional		$32.34	$2,199.23	$2,450.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,631.48 / $2,857.29 / $2,899.81	Professional		$2,631.48	$2,857.29	$2,899.81
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 $1,388.66 / $1,991.25 / $3,256.61	Professional		$1,388.66	$1,991.25	$3,256.61