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 $1,407.75 / $1,929.23 / $4,119.74	Professional		$1,407.75	$1,929.23	$4,119.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,486.26 / $2,238.90 / $2,699.85	Professional		$1,486.26	$2,238.90	$2,699.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,699.55 / $2,544.98 / $4,737.70	Facility		$1,699.55	$2,544.98	$4,737.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,292.31 / $2,431.23 / $2,778.56	Professional		$2,292.31	$2,431.23	$2,778.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,932.91 / $2,431.73	Professional		$32.34	$1,932.91	$2,431.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,427.00 / $2,855.29 / $2,919.86	Professional		$2,427.00	$2,855.29	$2,919.86
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 $1,597.14 / $2,199.50 / $3,344.85	Professional		$1,597.14	$2,199.50	$3,344.85