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 $1,765.31 / $2,442.92 / $5,185.95	Professional		$1,765.31	$2,442.92	$5,185.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,744.67 / $2,746.67 / $3,378.88	Professional		$1,744.67	$2,746.67	$3,378.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,777.55 / $3,126.94 / $5,497.11	Facility		$1,777.55	$3,126.94	$5,497.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,909.82 / $3,086.18 / $3,527.06	Professional		$2,909.82	$3,086.18	$3,527.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $2,448.88 / $3,080.84	Professional		$32.34	$2,448.88	$3,080.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,072.84 / $3,615.10 / $3,655.12	Professional		$3,072.84	$3,615.10	$3,655.12
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 $1,854.68 / $2,517.13 / $3,899.80	Professional		$1,854.68	$2,517.13	$3,899.80