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 $1,280.44 / $1,769.13 / $3,752.67	Professional		$1,280.44	$1,769.13	$3,752.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,312.48 / $2,033.69 / $2,452.39	Professional		$1,312.48	$2,033.69	$2,452.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,300.64 / $2,264.48 / $3,977.83	Facility		$1,300.64	$2,264.48	$3,977.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,104.98 / $2,232.56 / $2,551.50	Professional		$2,104.98	$2,232.56	$2,551.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,776.18 / $2,234.54	Professional		$32.34	$1,776.18	$2,234.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,224.75 / $2,595.94 / $2,639.62	Professional		$2,224.75	$2,595.94	$2,639.62
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 $1,423.87 / $1,865.43 / $2,890.07	Professional		$1,423.87	$1,865.43	$2,890.07