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 $1,581.94 / $1,790.68 / $4,153.72	Professional		$1,581.94	$1,790.68	$4,153.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,900.36 / $2,326.29 / $2,597.16	Professional		$1,900.36	$2,326.29	$2,597.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,320.08 / $2,198.40 / $5,316.77	Facility		$1,320.08	$2,198.40	$5,316.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,210.65 / $2,517.57 / $2,679.58	Professional		$2,210.65	$2,517.57	$2,679.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,100.12	Professional		$32.34	$32.34	$2,100.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,517.56 / $2,753.31 / $2,789.29	Professional		$2,517.56	$2,753.31	$2,789.29
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 $1,471.98 / $2,016.00 / $3,046.39	Professional		$1,471.98	$2,016.00	$3,046.39