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 $1,265.48 / $1,746.92 / $3,709.38	Professional		$1,265.48	$1,746.92	$3,709.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,342.13 / $2,009.64 / $2,423.38	Professional		$1,342.13	$2,009.64	$2,423.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,437.84 / $2,312.11 / $3,931.94	Facility		$1,437.84	$2,312.11	$3,931.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,079.36 / $2,205.39 / $2,520.44	Professional		$2,079.36	$2,205.39	$2,520.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,754.43 / $2,207.19	Professional		$32.34	$1,754.43	$2,207.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,198.12 / $2,566.66 / $2,609.84	Professional		$2,198.12	$2,566.66	$2,609.84
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 $1,261.74 / $1,764.45 / $2,785.35	Professional		$1,261.74	$1,764.45	$2,785.35