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 $2,024.47 / $2,288.67 / $5,314.09	Professional		$2,024.47	$2,288.67	$5,314.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,430.64 / $2,975.43 / $3,321.88	Professional		$2,430.64	$2,975.43	$3,321.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,103.14 / $4,147.22 / $6,802.04	Facility		$2,103.14	$4,147.22	$6,802.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,827.64 / $2,999.01 / $3,427.44	Professional		$2,827.64	$2,999.01	$3,427.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $2,686.30 / $2,993.31	Professional		$32.34	$2,686.30	$2,993.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,220.54 / $3,524.45 / $3,568.31	Professional		$3,220.54	$3,524.45	$3,568.31
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 $1,869.63 / $2,640.19 / $3,877.78	Professional		$1,869.63	$2,640.19	$3,877.78